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ABSTRACT: Although there are increasing numbers of long-term survivors on dialysis, there is remarkably little information about their medical and social wellbeing.
A group of 46 current survivors of long-term dialysis at a single centre were identified and asked to complete a structured interview; selected routine blood tests were also reviewed. The group's background and renal replacement history are described, along with frequencies of various complications.
Younger age and non-diabetic renal disease are associated with longer survival. Substantial morbidity accumulated over the time on dialysis, particularly vascular disease (57%) which was strongly linked to smoking history, as well as musculoskeletal complications (78%) and nutritional decline (80%). Encapsulating peritoneal sclerosis developed in 4 patients, after between 9 and 13 years of peritoneal dialysis.
Despite accumulating morbidity, a surprisingly stable and socially well-adjusted group is revealed, with low rates of hospital admission in the majority. The pattern of complications may be influenced by modality choices.
Nephron Clinical Practice 02/2008; 108(3):c207-12. DOI:10.1159/000119094 · 1.40 Impact Factor