A COMPARISON OF SURVIVAL AMONG DIALYTIC THERAPIES OF CHOICE - IN-CENTER HEMODIALYSIS VERSUS CONTINUOUS AMBULATORY PERITONEAL-DIALYSIS AT HOME

Analyses were performed on a series of 2,754 dialysis patients between the ages of 20 and 60 years whose endstage renal disease (ESRD) therapy started in Michigan from 1980 through 1987 with the selection of either center hemodialysis (CH) or continuous ambulatory peritoneal dialysis (CAPD). The dialytic treatment at 6 months after first ESRD therapy was selected as the dialytic “treatment of choice” for each patient. Analyses of subsequent survival showed lower death rates for black patients than for white patients with hypertension (P < 0.01) and diabetes (P < 0.01). Death rates increased with patient age more dramatically among glomerulonephritis patients than among the other diagnostic groups (P < 0.05). Females had significantly lower death rates than did males among diabetic patients (P < 0.01). While no significant difference was found in average death rates between CH and CAPD (NS), there was a significant difference (P < 0.05) in the trend in death rates. Death rates among CH patients increased significanly (P < 0.001) during the study period, whereas death rates among CAPD patients have improved slightly (NS). © 1990, National Kidney Foundation, Inc.. All rights reserved.