Renal replacement therapy in patients over 75 years old
We describe the population of the affiliates of the National Institute of Social Services for Retirees and Pensioners of Buenos Aires (INSSJP), older than 75 years, in the different modalities of renal replacement therapy. All affiliates older than 75 who started dialysis therapy between 01/01/2011...
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Asociación Regional de Diálisis y Trasplantes Renales de Capital Federal y Provincia de Buenos Aires
2018-12-01
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Series: | Revista de Nefrología, Diálisis y Trasplante |
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Online Access: | https://www.revistarenal.org.ar/index.php/rndt/article/view/376 |
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doaj-db983472b5424083a423c4622ef3f9eb2020-11-25T02:05:17ZspaAsociación Regional de Diálisis y Trasplantes Renales de Capital Federal y Provincia de Buenos AiresRevista de Nefrología, Diálisis y Trasplante0326-34282346-85482018-12-01384286293344Renal replacement therapy in patients over 75 years oldSilvia Russomando0Verónica Rivero1Nuria Violini2Pablo Mattiussi3Instituto Nacional de Servicios Sociales para Jubilados y Pensionados (INSSJP), Buenos AiresInstituto Nacional de Servicios Sociales para Jubilados y Pensionados (INSSJP), Buenos AiresInstituto Nacional de Servicios Sociales para Jubilados y Pensionados (INSSJP), Buenos AiresInstituto Nacional de Servicios Sociales para Jubilados y Pensionados (INSSJP), Buenos AiresWe describe the population of the affiliates of the National Institute of Social Services for Retirees and Pensioners of Buenos Aires (INSSJP), older than 75 years, in the different modalities of renal replacement therapy. All affiliates older than 75 who started dialysis therapy between 01/01/2011 and 12/31/2015 were identified in the National System of Procurement and Transplantation of the Argentine Republic (SINTRA), as well as all those older than 75 who received a kidney transplant in that period. A total number of 3989 patients started dialysis treatment during that period. Only 67 of them (1.7%) underwent peritoneal dialysis (PD); 11 (0.3%) were on the waiting list and just 2 of them received a kidney transplant. An increase of about 7% in the incidence of patients belonging to this age group was observed between 2011 and 2015. Forty patients older than 75 received a transplant, twenty-two of them (55%) were enrolled in the Old for Old Program. The median survival for patients who had had a transplant was 3.9 years (95% CI 1.5 to 3.93). At the time of death, 66% of them had a functioning graft. The median survival for hemodialysis was 1.53 years (95% CI 1.43 to 1.63), and 2.02 (95% CI 1.5 to 3.2) for peritoneal dialysis. There were no statistically significant differences among hemodialysis, peritoneal dialysis and transplantation, although a slightly higher survival was observed in the latter. In our country the number of patients older than 75 who access peritoneal dialysis and transplantation is negligible, although according to the publications analyzed, it could be a good treatment option for them and we believe that their use should be expanded.https://www.revistarenal.org.ar/index.php/rndt/article/view/376terapia sustitutiva renaldiálisis peritonealhemodiálisistrasplante renalsobrevidaadultos mayores |
collection |
DOAJ |
language |
Spanish |
format |
Article |
sources |
DOAJ |
author |
Silvia Russomando Verónica Rivero Nuria Violini Pablo Mattiussi |
spellingShingle |
Silvia Russomando Verónica Rivero Nuria Violini Pablo Mattiussi Renal replacement therapy in patients over 75 years old Revista de Nefrología, Diálisis y Trasplante terapia sustitutiva renal diálisis peritoneal hemodiálisis trasplante renal sobrevida adultos mayores |
author_facet |
Silvia Russomando Verónica Rivero Nuria Violini Pablo Mattiussi |
author_sort |
Silvia Russomando |
title |
Renal replacement therapy in patients over 75 years old |
title_short |
Renal replacement therapy in patients over 75 years old |
title_full |
Renal replacement therapy in patients over 75 years old |
title_fullStr |
Renal replacement therapy in patients over 75 years old |
title_full_unstemmed |
Renal replacement therapy in patients over 75 years old |
title_sort |
renal replacement therapy in patients over 75 years old |
publisher |
Asociación Regional de Diálisis y Trasplantes Renales de Capital Federal y Provincia de Buenos Aires |
series |
Revista de Nefrología, Diálisis y Trasplante |
issn |
0326-3428 2346-8548 |
publishDate |
2018-12-01 |
description |
We describe the population of the affiliates of the National Institute of Social Services for Retirees and Pensioners of Buenos Aires (INSSJP), older than 75 years, in the different modalities of renal replacement therapy. All affiliates older than 75 who started dialysis therapy between 01/01/2011 and 12/31/2015 were identified in the National System of Procurement and Transplantation of the Argentine Republic (SINTRA), as well as all those older than 75 who received a kidney transplant in that period. A total number of 3989 patients started dialysis treatment during that period. Only 67 of them (1.7%) underwent peritoneal dialysis (PD); 11 (0.3%) were on the waiting list and just 2 of them received a kidney transplant. An increase of about 7% in the incidence of patients belonging to this age group was observed between 2011 and 2015. Forty patients older than 75 received a transplant, twenty-two of them (55%) were enrolled in the Old for Old Program. The median survival for patients who had had a transplant was 3.9 years (95% CI 1.5 to 3.93). At the time of death, 66% of them had a functioning graft. The median survival for hemodialysis was 1.53 years (95% CI 1.43 to 1.63), and 2.02 (95% CI 1.5 to 3.2) for peritoneal dialysis. There were no statistically significant differences among hemodialysis, peritoneal dialysis and transplantation, although a slightly higher survival was observed in the latter. In our country the number of patients older than 75 who access peritoneal dialysis and transplantation is negligible, although according to the publications analyzed, it could be a good treatment option for them and we believe that their use should be expanded. |
topic |
terapia sustitutiva renal diálisis peritoneal hemodiálisis trasplante renal sobrevida adultos mayores |
url |
https://www.revistarenal.org.ar/index.php/rndt/article/view/376 |
work_keys_str_mv |
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