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One-Year Mortality Rates in US Children with End-Stage Renal Disease

Background/Aims: Few published data describe survival rates for pediatric end-stage renal disease (ESRD) patients. We aimed to describe one-year mortality rates for US pediatric ESRD patients over a 15-year period. Methods: In this retrospective cohort study, we used the US Renal Data System databas... Full description

Journal Title: American journal of nephrology 2015-04, Vol.41 (2), p.121-128
Main Author: Chavers, Blanche M
Other Authors: Molony, Julia T , Solid, Craig A , Rheault, Michelle N , Collins, Allan J
Format: Electronic Article Electronic Article
Language: English
Subjects:
Adolescent
African Americans - statistics & numerical data
Age Factors
Article
Cause of Death
Child
Child, Preschool
Children
Chronic kidney failure
Dialysis
Diseases
end-stage renal disease
European Continental Ancestry Group - statistics & numerical data
Female
Humans
Infant
Infant, Newborn
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - mortality
Kidney Failure, Chronic - therapy
Kidney Transplantation - statistics & numerical data
Male
mortality
Original Report: Patient-Oriented, Translational Research
Patient outcomes
Pediatric research
pediatrics
Peritoneal Dialysis - statistics & numerical data
Renal Dialysis - statistics & numerical data
Retrospective Studies
Survival Rate - trends
United States - epidemiology
Quelle: Alma/SFX Local Collection
Publisher: Basel, Switzerland: S. Karger AG
ID: ISSN: 0250-8095
Link: https://www.ncbi.nlm.nih.gov/pubmed/25766310
Zum Text:
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title: One-Year Mortality Rates in US Children with End-Stage Renal Disease
format: Article
creator:
  • Chavers, Blanche M
  • Molony, Julia T
  • Solid, Craig A
  • Rheault, Michelle N
  • Collins, Allan J
subjects:
  • Adolescent
  • African Americans - statistics & numerical data
  • Age Factors
  • Article
  • Cause of Death
  • Child
  • Child, Preschool
  • Children
  • Chronic kidney failure
  • Dialysis
  • Diseases
  • end-stage renal disease
  • European Continental Ancestry Group - statistics & numerical data
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Kidney Failure, Chronic - etiology
  • Kidney Failure, Chronic - mortality
  • Kidney Failure, Chronic - therapy
  • Kidney Transplantation - statistics & numerical data
  • Male
  • mortality
  • Original Report: Patient-Oriented, Translational Research
  • Patient outcomes
  • Pediatric research
  • pediatrics
  • Peritoneal Dialysis - statistics & numerical data
  • Renal Dialysis - statistics & numerical data
  • Retrospective Studies
  • Survival Rate - trends
  • United States - epidemiology
ispartof: American journal of nephrology, 2015-04, Vol.41 (2), p.121-128
description: Background/Aims: Few published data describe survival rates for pediatric end-stage renal disease (ESRD) patients. We aimed to describe one-year mortality rates for US pediatric ESRD patients over a 15-year period. Methods: In this retrospective cohort study, we used the US Renal Data System database to identify period-prevalent cohorts of patients aged younger than 19 for each year during the period 1995-2010. Yearly cohorts averaged approximately 1,200 maintenance dialysis patients (60% hemodialysis, 40% peritoneal dialysis) and 1,100 transplant recipients. Patients were followed for up to 1 year and censored at change in modality, loss to follow-up, or death. We calculated the unadjusted model-based mortality rates per time at risk, within each cohort year, by treatment modality (hemodialysis, peritoneal dialysis, transplant) and patient characteristics; percentage of deaths by cause; and overall adjusted odds of mortality by characteristics and modality. Results: Approximately 50% of patients were in the age group 15-18, 55% were male, and 45% were female. The most common causes of ESRD were congenital/reflux/obstructive causes (55%) and glomerulonephritis (30%). One-year mortality rates showed evidence of a decrease in the number of peritoneal dialysis patients (6.03 per 100 patient-years, 1995; 2.43, 2010; p = 0.0263). Mortality rates for transplant recipients (average 0.68 per 100 patient-years) were consistently lower than the rates for all dialysis patients (average 4.36 per 100 patient-years). Conclusions: One-year mortality rates differ by treatment modality in pediatric ESRD patients.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0250-8095
fulltext: fulltext
issn:
  • 0250-8095
  • 1421-9670
url: Link


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creatorChavers, Blanche M ; Molony, Julia T ; Solid, Craig A ; Rheault, Michelle N ; Collins, Allan J
creatorcontribChavers, Blanche M ; Molony, Julia T ; Solid, Craig A ; Rheault, Michelle N ; Collins, Allan J
descriptionBackground/Aims: Few published data describe survival rates for pediatric end-stage renal disease (ESRD) patients. We aimed to describe one-year mortality rates for US pediatric ESRD patients over a 15-year period. Methods: In this retrospective cohort study, we used the US Renal Data System database to identify period-prevalent cohorts of patients aged younger than 19 for each year during the period 1995-2010. Yearly cohorts averaged approximately 1,200 maintenance dialysis patients (60% hemodialysis, 40% peritoneal dialysis) and 1,100 transplant recipients. Patients were followed for up to 1 year and censored at change in modality, loss to follow-up, or death. We calculated the unadjusted model-based mortality rates per time at risk, within each cohort year, by treatment modality (hemodialysis, peritoneal dialysis, transplant) and patient characteristics; percentage of deaths by cause; and overall adjusted odds of mortality by characteristics and modality. Results: Approximately 50% of patients were in the age group 15-18, 55% were male, and 45% were female. The most common causes of ESRD were congenital/reflux/obstructive causes (55%) and glomerulonephritis (30%). One-year mortality rates showed evidence of a decrease in the number of peritoneal dialysis patients (6.03 per 100 patient-years, 1995; 2.43, 2010; p = 0.0263). Mortality rates for transplant recipients (average 0.68 per 100 patient-years) were consistently lower than the rates for all dialysis patients (average 4.36 per 100 patient-years). Conclusions: One-year mortality rates differ by treatment modality in pediatric ESRD patients.
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subjectAdolescent ; African Americans - statistics & numerical data ; Age Factors ; Article ; Cause of Death ; Child ; Child, Preschool ; Children ; Chronic kidney failure ; Dialysis ; Diseases ; end-stage renal disease ; European Continental Ancestry Group - statistics & numerical data ; Female ; Humans ; Infant ; Infant, Newborn ; Kidney Failure, Chronic - etiology ; Kidney Failure, Chronic - mortality ; Kidney Failure, Chronic - therapy ; Kidney Transplantation - statistics & numerical data ; Male ; mortality ; Original Report: Patient-Oriented, Translational Research ; Patient outcomes ; Pediatric research ; pediatrics ; Peritoneal Dialysis - statistics & numerical data ; Renal Dialysis - statistics & numerical data ; Retrospective Studies ; Survival Rate - trends ; United States - epidemiology
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descriptionBackground/Aims: Few published data describe survival rates for pediatric end-stage renal disease (ESRD) patients. We aimed to describe one-year mortality rates for US pediatric ESRD patients over a 15-year period. Methods: In this retrospective cohort study, we used the US Renal Data System database to identify period-prevalent cohorts of patients aged younger than 19 for each year during the period 1995-2010. Yearly cohorts averaged approximately 1,200 maintenance dialysis patients (60% hemodialysis, 40% peritoneal dialysis) and 1,100 transplant recipients. Patients were followed for up to 1 year and censored at change in modality, loss to follow-up, or death. We calculated the unadjusted model-based mortality rates per time at risk, within each cohort year, by treatment modality (hemodialysis, peritoneal dialysis, transplant) and patient characteristics; percentage of deaths by cause; and overall adjusted odds of mortality by characteristics and modality. Results: Approximately 50% of patients were in the age group 15-18, 55% were male, and 45% were female. The most common causes of ESRD were congenital/reflux/obstructive causes (55%) and glomerulonephritis (30%). One-year mortality rates showed evidence of a decrease in the number of peritoneal dialysis patients (6.03 per 100 patient-years, 1995; 2.43, 2010; p = 0.0263). Mortality rates for transplant recipients (average 0.68 per 100 patient-years) were consistently lower than the rates for all dialysis patients (average 4.36 per 100 patient-years). Conclusions: One-year mortality rates differ by treatment modality in pediatric ESRD patients.
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30Survival Rate - trends
31United States - epidemiology
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27Peritoneal Dialysis - statistics & numerical data
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abstractBackground/Aims: Few published data describe survival rates for pediatric end-stage renal disease (ESRD) patients. We aimed to describe one-year mortality rates for US pediatric ESRD patients over a 15-year period. Methods: In this retrospective cohort study, we used the US Renal Data System database to identify period-prevalent cohorts of patients aged younger than 19 for each year during the period 1995-2010. Yearly cohorts averaged approximately 1,200 maintenance dialysis patients (60% hemodialysis, 40% peritoneal dialysis) and 1,100 transplant recipients. Patients were followed for up to 1 year and censored at change in modality, loss to follow-up, or death. We calculated the unadjusted model-based mortality rates per time at risk, within each cohort year, by treatment modality (hemodialysis, peritoneal dialysis, transplant) and patient characteristics; percentage of deaths by cause; and overall adjusted odds of mortality by characteristics and modality. Results: Approximately 50% of patients were in the age group 15-18, 55% were male, and 45% were female. The most common causes of ESRD were congenital/reflux/obstructive causes (55%) and glomerulonephritis (30%). One-year mortality rates showed evidence of a decrease in the number of peritoneal dialysis patients (6.03 per 100 patient-years, 1995; 2.43, 2010; p = 0.0263). Mortality rates for transplant recipients (average 0.68 per 100 patient-years) were consistently lower than the rates for all dialysis patients (average 4.36 per 100 patient-years). Conclusions: One-year mortality rates differ by treatment modality in pediatric ESRD patients.
copBasel, Switzerland
pubS. Karger AG
pmid25766310
doi10.1159/000380828
tpages8
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