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GFR at Initiation of Dialysis and Mortality in CKD: A Meta-analysis
- Source :
- American journal of kidney diseases, 59(6), 829-840. W.B. Saunders Ltd
- Publication Year :
- 2012
- Publisher :
- Elsevier BV, 2012.
-
Abstract
- Background: The proportion of patients with advanced chronic kidney disease (CKD) initiating dialysis therapy at a higher glomerular filtration rate (GFR) has increased during the past decade. Recent data suggest that higher GFR may be associated with increased mortality. Study Design: A meta-analysis of cohort studies and trials. Setting & Population: Patients with advanced CKD. Selection Criteria for Studies: We performed a systematic literature search in MEDLINE, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, American Society of Nephrology abstracts, and bibliographies of retrieved articles to identify studies reporting on GFR at dialysis therapy initiation and mortality. Predictor: Estimated or calculated GFR at dialysis therapy initiation. Outcome: Pooled adjusted hazard ratio (HR) of continuous GFR for all-cause mortality. Results: 16 cohort studies and 1 randomized controlled trial were identified (n = 1,081,116). By meta-analysis restricted to 15 cohorts (n = 1,079,917), higher GFR at dialysis therapy initiation was associated with a higher pooled adjusted HR for all-cause mortality (1.04; 95% CI, 1.03-1.05; P
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Population
Renal function
Risk Assessment
Severity of Illness Index
Article
Peritoneal dialysis
Cohort Studies
Renal Dialysis
Cause of Death
Internal medicine
medicine
Humans
Renal Insufficiency, Chronic
Intensive care medicine
education
Dialysis
Randomized Controlled Trials as Topic
education.field_of_study
business.industry
Hazard ratio
Prognosis
medicine.disease
Survival Analysis
United States
Nephrology
Kidney Failure, Chronic
Female
Hemodialysis
business
Peritoneal Dialysis
Glomerular Filtration Rate
Kidney disease
Cohort study
Subjects
Details
- ISSN :
- 02726386
- Volume :
- 59
- Database :
- OpenAIRE
- Journal :
- American Journal of Kidney Diseases
- Accession number :
- edsair.doi.dedup.....0a28a26e5385cc4e87e4142abbf5d593