SURVIVAL OF PATIENTS TREATED FOR END-STAGE RENAL-DISEASE BY DIALYSIS AND TRANSPLANTATION

  • 1 January 1977
    • journal article
    • research article
    • Vol. 117  (8) , 880-883
Abstract
The results of treatment in 213 patients with end-stage renal disease who underwent hemodialysis, peritoneal dialysis or transplantation or a combination were analyzed. Comparison by censored survival analysis showed significantly better (P < 0.01) patient survival with the integrated therapy of dialysis and transplantation than with either form of dialysis alone. There was no significant difference in survival of males and females but survival at the extremes of age was poorer. Analysis of survival by major cause of renal failure indicated best survival in patients with congenital renal disease. Graft and patient survival rates at 1 yr after the 1st transplantation were 42% and 69%, respectively. The major cause of death in this series was vascular disease, but infection was responsible for 50% of deaths after transplantation. While integration of dialysis with transplantation produces best patient survival, this course is possible only when sufficient cadaver kidneys are available.