Outcomes for adolescent Hispanic hemodialysis patients: findings from the ESRD Clinical Performance Measures Project

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Diane L FrankenfieldAlicia M Neu

Abstract

There is limited information regarding outcomes of dialytic care for Hispanic adolescent hemodialysis patients. Ethnicity information was collected for all adolescent in-center hemodialysis patients for the Centers for Medicare & Medicaid Services 2000 End-Stage Renal Disease (ESRD) Clinical Performance Measures Project. Associations between intermediate outcomes and Hispanic ethnicity were determined. Associations of ethnicity and other demographic/clinical variables with hospitalization and transplantation during the 12-month follow-up period were examined. Twenty-two percent of patients were identified as Hispanic; 40%, as non-Hispanic black; and 32%, as non-Hispanic white. Hispanic patients were younger and more likely to have congenital/urological causes of ESRD. More Hispanic patients had a mean single-pool Kt/V of 1.2 or greater compared with non-Hispanic blacks and non-Hispanic whites (87% versus 73% and 79%; P = 0.036). More Hispanic patients had a mean serum albumin level of 3.5/3.2 g/dL (bromcresol green/bromcresol purple method) or greater (> or = 35/32 g/L; 91% versus 82% and 76%; P = 0.017). More Hispanic patients compared with non-Hispanic blacks and non-Hispanic whites were dialyzed with a catheter for 90 days o...Continue Reading

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Citations

Dec 17, 2008·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Elisa J Gordon, Juan Carlos Caicedo
Feb 2, 2010·Seminars in Nephrology·Maria Lourdes MinnickSusan Furth
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Oct 19, 2006·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Raynel Kinney, Raynel Kinney
Apr 27, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Meredith A AtkinsonSusan L Furth
Sep 19, 2007·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Meredith A AtkinsonDiane L Frankenfield

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