[Comparison of mortality rates between peritoneal dialysis and hemodialysis in diabetic nephropathy patients].
OBJECTIVE
To evaluate and compare the different survival rates and clinical outcome of continuous ambulatory peritoneal dialysis (PD) and hemodialysis (HD) treatment in diabetic patients.


METHODS
62 diabetic patients suffering from end stage renal complication were treated with PD or HD. The age, sex and residual renal function of the two groups were matching. Their survival rates and levels of blood lipid, blood sugar, serum albumin and hemoglobin were observed.


RESULTS
The mortality rates of HD and PD were not significantly different in the first two years. But mortality of PD increased rapidly after two years of treatment. The levels of blood triglycerides, low density lipoprotein cholesterol and fasting sugar in PD patients were higher than that in HD patients, while the concentration of serum albumin was lower than HD patients significantly.


CONCLUSIONS
In diabetic patients with renal failure PD as a choice to replace the kidney function was not superior to HD, especially after two years of PD treatment. A close watch is necessary to detect the change of parameter levels mentioned above and if is better to shift to HD. A strict long-term and extensive survey is needed to compare these two methods further.
Liu
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Division of Nephrology, Affiliated Fu Xing Hospital of Capital Medical University, Beijing 100038, China.
Li
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G
D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D008078:Cholesterol, LDL / Q000097:blood; D003928:Diabetic Nephropathies / Q000097:blood / Q000401:mortality* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D006435:Renal Dialysis / Q000379:methods; D012709:Serum Albumin / Q000032:analysis; D015996:Survival Rate; D016896:Treatment Outcome; D014280:Triglycerides / Q000097:blood
D001786:Blood Glucose; D008078:Cholesterol, LDL; D012709:Serum Albumin; D014280:Triglycerides