[Influence of dialysis and kidney transplantation on the survival of patients with end-stage chronic kidney failure. A multifactorial analysis].
In a series of 296 patients treated in our centre by dialysis and/or renal transplantation over the last 15 years, the actuarial survival rates at 5, 10 and 15 years were 79, 68 and 57 percent respectively. Comparing the influence on survival of each of these two treatments separately should avoid two methodological biases represented by the sequential risk due to the succession of treatments and by different pretherapeutic situations. We therefore analysed these patients' survivals by the unbiased Mantel-Byar method, using a comparison of multiple survival factors (Cox's technique). We showed that treatment was an independent factor of survival and that transplantation had a more beneficial effect than dialysis. However, these replacement techniques seem to have less influence on survival than the pretherapeutic situations.
Alamartine
E
E
Service de Néphrologie-Dialyse-Transplantation rénale, CHU de Saint-Etienne, Hôpital Nord, Saint-Priest-en-Jarez.
Leroy
G
G
Toulon
J
J
Guérin
C
C
Sabatier
J C
JC
Genin
C
C
Berthoux
F
F
D000206:Actuarial Analysis; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality* / Q000628:therapy; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000379:methods*
Influence de la dialyse et de la transplantation sur la survie des malades en insuffisance rénale chronique terminale. Analyse multifactorielle.