Bernard G. Jaar, MD, MPH; Josef Coresh, MD, PhD; Laura C. Plantinga, ScM; Nancy E. Fink, MPH; Michael J. Klag, MD, MPH; Andrew S. Levey, MD; Nathan W. Levin, MD; John H. Sadler, MD; Alan Kliger, MD; Neil R. Powe, MD, MPH, MBA
Presented in part at the 36th Annual Meeting of the American Society of Nephrology, San Diego, California, 12—17 November 2003.
Acknowledgment: The authors thank the patients, staff, laboratory and physicians of Dialysis Clinic Inc., New Haven Continuous Ambulatory Peritoneal Dialysis, and St. Raphael's Hospital for their participation.
Grant Support: This work was supported in part by grant HS08365 from the Agency for Healthcare Research and Quality, Rockville, Maryland, grant DK07024 from the National Institute of Diabetes and Digestive and Kidney Diseases, and grant HL62985 from the National Heart Lung and Blood Institute, Bethesda, Maryland. Dr. Powe is supported in part by grant DK59616 from the National Institute of Diabetes and Digestive and Kidney Diseases. Dr. Jaar was supported in part by the Richard Ross Clinician Scientist Award from the Johns Hopkins School of Medicine.
Potential Financial Conflicts of Interest: Grants received: J. Coresh (Baxter Extramural Program).
Requests for Single Reprints: Bernard G. Jaar, MD, MPH, Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, 2024 East Monument Street, Suite 2-500, Baltimore, MD 21205; e-mail, firstname.lastname@example.org.
Current Author Addresses: Drs. Jaar, Coresh, Klag, and Powe, Ms. Plantinga, and Ms. Fink: Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, 2024 East Monument Street, Suite 2-500, Baltimore, MD 21205.
Dr. Levey: New England Medical Center, 750 Washington Street, Box 391, Boston, MA 02111.
Dr. Levin: Renal Research Institute, 207 E. 94th Street, Suite 303, New York, NY 10128.
Dr. Sadler: Independent Dialysis Foundation, 840 Hollins Street, Baltimore, MD 21201
Dr. Kliger: New Haven Continuous Ambulatory Peritoneal Dialysis, 136 Sherman Avenue, Suite 405, New Haven, CT 06511.
Author Contributions: Conception and design: J. Coresh, N.E. Fink, A.S. Levey, N.W. Levin, N.R. Powe.
Analysis and interpretation of the data: B.G. Jaar, J. Coresh, L.C. Plantinga, N.E. Fink, A.S. Levey, N.W. Levin, A.S. Kliger, N.R. Powe.
Drafting of the article: B.G. Jaar, L.C. Plantinga, N.E. Fink, N.R. Powe.
Critical revision of the article for important intellectual content: B.G. Jaar, J. Coresh, L.C. Plantinga, N.E. Fink, A.S. Kliger, N.R. Powe.
Final approval of the article: B.G. Jaar, J. Coresh, L.C. Plantinga, N.E. Fink, N.R. Powe.
Provision of study materials or patients: A.S. Levey, A.S. Kliger.
Statistical expertise: B.G. Jaar, J. Coresh, L.C. Plantinga, N.R. Powe.
Obtaining of funding: A.S. Levey, N.R. Powe.
Administrative, technical, or logistic support: B.G. Jaar, J. Coresh, A.S. Levey, N.W. Levin, J.H. Sadler, N.R. Powe.
Collection and assembly of data: J. Coresh, N.E. Fink, M.J. Klag, N.R. Powe.
Jaar BG, Coresh J, Plantinga LC, Fink NE, Klag MJ, Levey AS, et al. Comparing the Risk for Death with Peritoneal Dialysis and Hemodialysis in a National Cohort of Patients with Chronic Kidney Disease. Ann Intern Med. 2005;143:174-183. doi: 10.7326/0003-4819-143-3-200508020-00003
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Published: Ann Intern Med. 2005;143(3):174-183.
Does dialysis method affect survival of patients with end-stage renal disease?
At 81 clinics in 19 states, 25% of the patients receiving peritoneal dialysis and 5% of those receiving hemodialysis switched methods at least once within 7 years. Patients initiating treatment with peritoneal dialysis appeared healthier and of higher socioeconomic status than did those receiving hemodialysis. Analyses that adjusted for baseline differences found statistically significantly higher risks for death among patients receiving peritoneal dialysis compared with those receiving hemodialysis during the second, but not first, year of treatment.
This prospective study of incident dialysis was not a randomized trial.
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Nephrology, Renal Replacement Therapy.
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