PMID: 8951300Dec 9, 1996Paper

A prospective study of risk factors and decision making in discontinuation of dialysis

Archives of Internal Medicine
K BajwaC M Kjellstrand

Abstract

Discontinuation of dialysis is a common cause of death. We performed a prospective study to determine if a detailed description of patients could be used to identify those at risk for discontinuing dialysis. Two hundred thirty-five dialysis patients were studied for 3 1/2 years. Using questionnaires, medical chart analyses, and interviews, 300 sociodemographic, quality-of-life, medical and dialysis variables were prospectively obtained. The association of these variables with death from discontinuation of dialysis was studied in univariate and multivariate analyses. Seventy-six patients (32%) died during the follow-up period, 31 (41%) of cardiovascular problems, 13 (17%) of discontinuation of dialysis, and 32(42%) of other causes. Patients who discontinued dialysis were older (mean age, 66 vs 54 years), were more likely to be divorced or widowed (46% vs 16%), were more likely to live in nursing homes (31% vs 6%), spent less time outdoors (23% vs 53%), had twice as much comorbidity as other patients (major comorbidity score, 1.2 vs 0.6), had the same psychological quality-of-life score (60 vs 62) but a lower score on the Karnovsky Scale, and a higher physical discomfort index. In multivariate analysis, comorbidity, widowed or di...Continue Reading

Citations

Feb 28, 2006·Journal of Palliative Medicine·J Randall Curtis
Mar 18, 2005·Seminars in Dialysis·Lewis M Cohen, Michael J Germain
Jan 25, 2007·Seminars in Dialysis·Amy S Hackett, Suzanne G Watnick
May 3, 2013·BMC Geriatrics·Charles E GessertBrian P Johnson
Oct 9, 2002·Social Work in Health Care·Gail K Auslander, Adina Buchs
Mar 30, 2006·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Elizabeth A McDade-MontezWilliam J Lawton
Feb 20, 2014·International Journal of Psychiatry in Medicine·Maurizio PompiliPaolo Girardi
Aug 10, 2006·Néphrologie & thérapeutique·Béatrice Birmelé
Mar 5, 2002·Seminars in Dialysis·Sara N Davison
Dec 3, 2013·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Emma MurphyFliss E M Murtagh
Jun 27, 2006·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·John E AndersonThomas E Finucane
Oct 2, 2007·Advances in Chronic Kidney Disease·Fliss MurtaghMichael J Germain
Oct 7, 2003·Annual Review of Phytopathology·Lynn Epstein, Susan Bassein

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