title: Survival at 1, 3, and 5 years in diabetic and nondiabetic patients on hemodialysis.
abstract: We analyzed survival of 185 adult patients on maintenance hemodialysis (9 h/wk to 12 h/wk) at Emam Khomini Hospital in Ahvaz, Iran. Patient survival at 1, 3, and 5 years was 89.2%, 69.2%, and 46.8%, respectively. There was no significant difference between diabetic and nondiabetic patients in 1-year survival (87.1% versus 89.7%, P = .66). But, 3- and 5-year survival rates of diabetic patients were significantly lower than those of nondiabetic patients (52.2% versus 73.8%, P = .04; zero versus 56.9%, P < .001; respectively). Based on our findings, the survival of diabetic patients undergoing hemodialysis was much worse than survival of nondiabetic patients. Thus, prevention of diabetic nephropathy should be more emphasized; and if end-stage renal disease is present, other renal replacement therapies such as kidney transplantation must be considered as soon as possible.
authors.affiliation: Department of Internal Medicine, Faculty of Medicine, Jundishapur University of Medical Sciences, Ahvaz, Iran. beladimusavi@yahoo.com
authors.forename: Seyed Seifollah
authors.initials: SS
authors.lastname: Beladi Mousavi
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Hayati
authors.forename: Mohammad Javad
authors.initials: MJ
authors.lastname: Alemzadeh Ansari
authors.forename: Ehsan
authors.initials: E
authors.lastname: Valavi
authors.forename: Bahman
authors.initials: B
authors.lastname: Cheraghian
authors.forename: Heshmatollah
authors.initials: H
authors.lastname: Shahbazian
authors.forename: Khadijeh
authors.initials: K
authors.lastname: Golzari
authors.forename: Ali
authors.initials: A
authors.lastname: Ghorbani
authors.forename: Homira
authors.initials: H
authors.lastname: Rashidi
authors.forename: Peyman
authors.initials: P
authors.lastname: Payami
authors.forename: Bahman
authors.initials: B
authors.lastname: Ghaderian
authors.forename: Esmaeel
authors.initials: E
authors.lastname: Eideni
mesh_terms: D000328:Adult; D000368:Aged; D003928:Diabetic Nephropathies / Q000401:mortality* / Q000601:surgery / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007492:Iran / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000401:mortality* / Q000601:surgery / Q000628:therapy*; D016030:Kidney Transplantation / Q000401:mortality; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000401:mortality*; D016019:Survival Analysis