Show simple item record

dc.contributor.authorYAVUZ, Mahmut
dc.contributor.authorERSOY, Fevzi
dc.contributor.authorBozfakioglu, SEMRA
dc.contributor.authorCAMSARI, Taner
dc.contributor.authorYILMAZ, M. Emin
dc.contributor.authorOZENER, Cetin
dc.contributor.authorArikan, Hakki
dc.contributor.authorKARAYAYLALI, Ibrahim
dc.contributor.authorUTAS, Cengiz
dc.contributor.authorAKPOLAT, Tekin
dc.contributor.authorAtaman, Rezzan
dc.contributor.authorAKCICEK, Fehmi
dc.date.accessioned2021-03-02T23:15:32Z
dc.date.available2021-03-02T23:15:32Z
dc.date.issued2014
dc.identifier.citationOZENER C., Arikan H., KARAYAYLALI I., UTAS C., Bozfakioglu S., AKPOLAT T., Ataman R., ERSOY F., CAMSARI T., YAVUZ M., et al., "The impact of diabetes mellitus on peritoneal dialysis: the Turkey Multicenter Clinic Study", RENAL FAILURE, cilt.36, sa.2, ss.149-153, 2014
dc.identifier.issn0886-022X
dc.identifier.otherav_116501a8-1839-4b1b-8c57-c47cf7d1d833
dc.identifier.othervv_1032021
dc.identifier.urihttp://hdl.handle.net/20.500.12627/17187
dc.identifier.urihttps://doi.org/10.3109/0886022x.2013.843275
dc.description.abstractPurpose: It is well established that diabetic peritoneal dialysis (PD) patients have a higher mortality rate than the other PD population. This study was designed to determine the overall predictors of survival and compared mortality and morbidity between diabetic and non-diabetic Turkish PD patients. Methods: We conducted a multicenter retrospective study with 915 PD patients [217 had diabetes mellitus (DM)]. Serum albumin, PTH, HbA1c, co-morbid diseases, dialysis adequacy (Kt/V), and peritoneal transport characteristics as well as peritonitis episodes and ultrafiltration failure during the follow-up period were recorded. Results: DM patients were older and had more co-morbidities than non-DM patients. Peritonitis rates were higher in DM patients (one episode per 35.9 patient months) compared to non-DM patients (one episode per 41.5 patient months) (p<0.001). On Kaplan-Meier analysis, patient survival was significantly lower in DM patients with the 2-, 3- and 5-year patient survival rates of 90.8%, 87.8% and 78.2% in non-diabetics and 80.9%, 70.4% and 61.2% in diabetics, respectively. On Cox regression analysis, DM (HR 1.5, p = 0.022), age (HR 1.03, p<0.001), baseline serum albumin (HR 0.39, p<0.001), heart failure (HR 0.038, p = 0.038), peripheral artery disease (HR 1.83, p = 0.025) and amputation (HR 4.1, p = 0.009) at baseline were significant predictors of overall mortality. Conclusions: Patient survival is lower in diabetic compared to non-diabetic patients on PD. Peritonitis rates were also higher in diabetic PD patients. DM, older age, albumin level and cardiovascular co-morbidities are predictors of mortality
dc.language.isoeng
dc.subjectİç Hastalıkları
dc.subjectNefroloji
dc.subjectDahili Tıp Bilimleri
dc.subjectÜROLOJİ VE NEFROLOJİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.titleThe impact of diabetes mellitus on peritoneal dialysis: the Turkey Multicenter Clinic Study
dc.typeMakale
dc.relation.journalRENAL FAILURE
dc.contributor.departmentMarmara Üniversitesi , ,
dc.identifier.volume36
dc.identifier.issue2
dc.identifier.startpage149
dc.identifier.endpage153
dc.contributor.firstauthorID16049


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record