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논문분류 춘계학술대회 초록집
제목 Hemodiafiltration Is Associated with Better patients` Survival Compared with Conventional Hemodialysis
저자 Hoon Suk Park1, Youn Hee Lee1, Min Seok Choi1, Byung Ha Chung1, Hyung Wook Kim1, Bum Soon Choi1, Young Ok Kim1, Cheol Whee Park1, Chul Woo Yang1, Dong Chan Jin1
출판정보 2017; 2017(1):
키워드 Hemodiafiltration, hemodialysis, survival
초록 Objectives : The survival benefit of hemodiafiltration (HDF) to ESRD patients is not yet established whereas recent studies using high convection volume HDF demonstrated its survival benefit. Methods : Total 42552 hemodialysis patients from Korean Society Nephrology registry were analyzed in the current study. HDF (n=8191) and conventional HD (n=34361) groups were compared. Results : In baseline characteristics, HDF group was younger (58 ± 13 vs. 62 ± 14 years; p <0.001) and had more male (62.1 vs. 56.9 %; p =0.004. AVF (vs. AVG) was more used in HDF group (80.4 vs. 71.9 %; p <0.001). DM (38.9 vs. 47.7 %; p <0.001) and cerebrovascular accident (4.8 vs. 5.6 %; p =0.006) were less common in HDF group. HDF group showed the better patient`s survival compared with conventional HD group (p <0.001). Propensity score matching for the precise comparison was used. After propensity score matching, two groups were comparable in baseline characteristics, but HDF group still showed better patient`s survival compared with conventional HD group (p <0.001). Conclusions : Our study shows HDF is strongly considered for improving patient`s survival.
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