Haemodialysis or renal transplantation in the treatment of end-stage diabetic nephropathy.
We have reviewed 27 diabetic patients treated between 1971 and 1981 by haemodialysis and/or by transplantation. Overall patient survival is 43 per cent at five years (vs 78 per cent in non-diabetics of similar age). Two year patient survival is identical (73%) with haemodialysis and after transplantation. One year graft survival is 55 per cent. Progression of extrarenal diabetic complications is similar in haemodialysis and after transplantation. Recurrence of diabetic glomerulosclerosis was documented in two grafts. Haemodialysis thus offers a suitable alternative for diabetic patients who cannot be transplanted.
D000293:Adolescent; D000328:Adult; D003928:Diabetic Nephropathies / Q000401:mortality / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality / Q000628:therapy*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D013997:Time Factors