A reassessment of the prognosis of diabetic patients treated by chronic hemodialysis (CHD).
Our early results in 25 diabetics treated by CHD prior to 1972, compared to results in a further 66 diabetics starting CHD since 1972, show an improvement in survival related to a reduction in deaths from myocardial infarction and sepsis. There has been a reduction in complications requiring hospital admission, related to a lower incidence of sepsis. Access survival has been markedly improved since the introduction of the bovine fistula.
D000328:Adult; D000368:Aged; D000818:Animals; D001166:Arteriovenous Shunt, Surgical; D001766:Blindness / Q000150:complications; D001807:Blood Vessel Prosthesis; D002339:Carotid Arteries / Q000637:transplantation; D002417:Cattle; D003928:Diabetic Nephropathies / Q000150:complications / Q000401:mortality / Q000628:therapy*; D003930:Diabetic Retinopathy / Q000150:complications; D005260:Female; D006760:Hospitalization; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D010493:Pericarditis / Q000209:etiology; D011379:Prognosis; D006435:Renal Dialysis / Q000009:adverse effects; D014183:Transplantation, Heterologous