Analysis of survival of end-stage renal disease patients

Analysis of survival of end-stage renal disease patients. Traditional life-table analyses of differences in patient survival for various end-stage renal disease (ESRD) treatment modalities ignore the fact that ESRD patients face sequential risks because they frequently experience more than one mode...

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Veröffentlicht in:Kidney international 1982-01, Vol.21 (1), p.78-83
Hauptverfasser: Weller, John M., Port, Friedrich K., Swartz, Richard D., Ferguson, C. William, Williams, George W., Jacobs, John F.
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container_end_page 83
container_issue 1
container_start_page 78
container_title Kidney international
container_volume 21
creator Weller, John M.
Port, Friedrich K.
Swartz, Richard D.
Ferguson, C. William
Williams, George W.
Jacobs, John F.
description Analysis of survival of end-stage renal disease patients. Traditional life-table analyses of differences in patient survival for various end-stage renal disease (ESRD) treatment modalities ignore the fact that ESRD patients face sequential risks because they frequently experience more than one mode of therapy. A modification of the usual life-table analysis is suggested as being more appropriate. This modified method takes into account the “time-to-treatment” bias, which, in this instance, is the time spent on the first modality of treatment (that is, center dialysis). The survival data of more than 2,000 ESRD patients in the State of Michigan during the 5-year period, 1974 to 1978, are used to illustrate this method. Analyse de la survie des malades atteints d'affection rénale terminale. Les tables traditionnelles d'analyse des différences de survie pour différentes affections rénales au stade terminal ne tiennent pas compte du fait que ces malades sont confrontés à des risques séquentiels car ils subissent souvent plus d'une catégorie de traitement. Une modification de ces tables est suggérée. Cette méthode modifiée prend en compte le biais “temps-traitement” qui, dans ce cas, est le temps passé dans la première modalité thérapeutique, c'est-à-dire la dialyse en centre. Les observations des services concernant plus de 2.000 malades de l'Etat de Michigan (USA) au cours d'une période de 5 ans, 1974 à 1978, sont utilisées pour illustrer cette méthode.
doi_str_mv 10.1038/ki.1982.11
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The survival data of more than 2,000 ESRD patients in the State of Michigan during the 5-year period, 1974 to 1978, are used to illustrate this method. Analyse de la survie des malades atteints d'affection rénale terminale. Les tables traditionnelles d'analyse des différences de survie pour différentes affections rénales au stade terminal ne tiennent pas compte du fait que ces malades sont confrontés à des risques séquentiels car ils subissent souvent plus d'une catégorie de traitement. Une modification de ces tables est suggérée. Cette méthode modifiée prend en compte le biais “temps-traitement” qui, dans ce cas, est le temps passé dans la première modalité thérapeutique, c'est-à-dire la dialyse en centre. 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subjects Adolescent
Adult
Age Factors
Female
Hemodialysis, Home
Humans
Kidney Failure, Chronic - mortality
Kidney Failure, Chronic - therapy
Kidney Transplantation
Male
Michigan
Middle Aged
Renal Dialysis
Sex Factors
title Analysis of survival of end-stage renal disease patients
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