Survival Data for Patients Undergoing Chronic Intermittent Hemodialysis
Authors: EDMUND J. LEWIS
Journal: Annals of Internal Medicine (1969)

Article1 February 1969Survival Data for Patients Undergoing Chronic Intermittent HemodialysisEDMUND J. LEWIS, M.D., D. MARIE FOSTER, A.B., JOSEPH DE LA PUENTE, M.P.H., CATHLENE SCURLOCKEDMUND J. LEWIS, M.D.Search for more papers by this author, D. MARIE FOSTER, A.B.Search for more papers by this author, JOSEPH DE LA PUENTE, M.P.H.Search for more papers by this author, CATHLENE SCURLOCKSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-70-2-311 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSurvival data have been compiled on 302 patients undergoing chronic intermittent hemodialysis in 14 centers. This represents approximately one third of the total dialysis population in the United States as of the closing date of the study, June 1967. Fifty-three patients have been observed for 2 or more years. Forty-eight patients have died. The survival rate after 1 year on dialysis was 87%. Two- and 3-year survival rates were 77.3 and 67.4%, respectively. Computed 7-year survival rate is 57.8%. Males and females survived equally well on dialysis.The group over the age of 46 had a higher fatality rate at the 1-, 2- and 3-year intervals; however, cumulative survival rates were not significantly different between the under 45 and over 46 years groups at the 1-year level ( P > 0.05 ). The survival curve describes a constant geometric function with time, indicating that prognosis neither improves nor worsens for the population over a 3-year period on dialysis. This phenomenon is not unique, having been described in a number of other chronic diseases.Given the premise that these patients represent a population in a fatal situation were it not for the therapy they were receiving, chronic intermittent hemodialysis appears an effective means of prolonging the life of the uremic patient....References1. MERRELLSHULMAN MLE: Determination of prognosis in chronic disease, illustrated by systemic lupus erythematosus. J. Chron. Dis. 1: 12, 1955. CrossrefMedlineGoogle Scholar2. GREENWOOD M: A report on the natural duration of cancer, Appendix I. The errors of sampling of the survivorship tables. Reports on Public Health and Statistical Subjects No. 33. His Majesty's Stationery Office, London, 1926. Google Scholar3. WRIGHTSANDLIVINGSTON RGPG: Psychological stress during hemodialysis for chronic renal failure. Ann. Intern. Med. 64: 611, 1966. LinkGoogle Scholar4. PENDRASERICKSON JPRV: Hemodialysis: a successful therapy for chronic uremia. Ann. Intern. Med. 64: 293, 1966. LinkGoogle Scholar5. SCHUPAKSULLIVANLEE EJFDY: Chronic dialysis in "unselected" patients. Ann. Intern. Med. 67: 708, 1967. LinkGoogle Scholar6. RETANLEWIS JWHY: Repeated dialysis of indigent patients for chronic renal failure. Ann. Intern. Med. 64: 284, 1966. LinkGoogle Scholar7. ZUMOFFHARTHELLMAN BHL: Considerations of mortality in certain chronic diseases. Ann. Intern. Med. 64: 595, 1966. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Arlington, VirginiaFrom the Kidney Disease Control Program, National Center for Chronic Disease Control, U. S. Public Health Service, Arlington, Va.This paper was presented in part on April 5, 1968, at the Forty-Ninth Annual Session of the American College of Physicians, held in association with the Royal College of Physicians of London, in Boston, Mass.Requests for reprints should be addressed to Edmund J. Lewis, M.D., Department of Medicine, Robert Breck Brigham Hospital, Parker Hill Ave., Boston, Mass. 02120 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByDifferences in Dialysis Practice Are the Main Reasons for the High Mortality Rate in the United States Compared to JapanSome aspects of the history of early dialysis registriesVariable Mortality Rates among Dialysis Treatment CentersWilliam M. McClellan, MD, MPH, W. Dana Flanders, MD, DSc, Robert A. 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