Kjellstrand C, Szabo E, Kovithavongs C
Income is a very important independent variable that affects
survival of patients with ESRD.
ASN 30th Annual Meeting, San Antonio
J Am Soc Nephrol
(Sep) 8:197A 1997
Income is an important independent variable that may affect survival of
patients with ESRD.
Transplant and dialysis patients were categorized according to income level
and followed for a mean
of 30 months from time of interview. Twenty three percent of the 358
subjects died during the
period of follow-up. Income, studied as a categorical and continuous
variable, was positively
correlated with cumulative 15 year survival:
80% for those with annual income > $40K and 10% for those earning <
$10K.
Not surprisingly, "rich" patients (>$20K) were more likely to be young,
male, educated,
transplanted, married, employed, happy, active, and had higher hemoglobin and
creatinine levels.
"Poor" patients (<$20K), however, were not more underdialyzed,
malnourished, or nonwhite. "Rich"
income, together with age, Karnovsky index, diagnosis and comorbidity, was an
independent
significant variable predicting survival.
Comment: Income level and variables associated with it appears to be
an important
consideration in analysis of survival . This study provides valuable
additional information for
those interested in evaluating ESRD outcomes.
(Rick L. Latos, M.D., Wheeling, WV)
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ASN 30th Annual Meeting, San Antonio
CRF: Problem Areas :
Outcomes (Morbidity, Mortality)