Early withdrawal and non-withdrawal death in the months following hemodialysis initiation: A retrospective cohort analysis.

ABSTRACT:

Introduction

Whether and how factors associated with elective hemodialysis withdrawal differ from those associated with non-withdrawal death soon after maintenance hemodialysis initiation have not been well studied.

Methods

A retrospective cohort analysis was performed using USRDS data from 2011 to 2014. Patients were randomly categorized 2:1 into training and validation samples. Elective withdrawal deaths were identified using the Death Notification form. Multinomial logistic regression was used to fit a prediction model for three outcome categories (withdrawal, non-withdrawal death, survival at 6 months) as a function of demographic, comorbidity, and functional status.

Findings

The training sample comprised 80,284 hemodialysis patients. Mean age was 71.7 ± 11.4 year

SUBMITTER: Wetmore JB 

PROVIDER: S-EPMC7032605 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature