title: Survival for haemodialysis vs. peritoneal dialysis and technique transference. Experience in Ourense, Spain, from 1976 to 2012.
abstract: OBJECTIVE
  To assess SV in our RRT population in the period 1976-2012 as well as the influence of technique transference (TT).
  
  
  METHODS
  The study included a retrospective cohort of 993 patients. Data were classified as transplant (Tx), change in technique, exitus or lost to follow-up. SV for TT was determined in patients with over 12 weeks of permanence.
  
  
  RESULTS
  The mortality risk adjusted for age, sex, dialysis technique or diabetes mellitus (DM) showed that the estimated risk of death increased by 4.8% per year increase (HR=1.048; 95% CI: 1.04-1.06; P<.001) and was 44% higher in diabetics compared to non-diabetics (HR=1.44; 95% CI 1.16-1.76; P<.01). Regarding SV for TT, patients who initiated HD had a shorter survival than those who initiated PD and transferred to HD (P=.00563).
  
  
  CONCLUSIONS
  In our experience, SV in RRT is dependent on age and coexistence of DM. It would be beneficial to reinstate the concept of "comprehensive care", in which RRT would start with PD and later transfer to HD.
authors.affiliation: Servicio de Nefrología, Complexo Hospitalario Universitario de Ourense, Ourense , España. Electronic address: alfonso.otero.gonzalez@sergas.es.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Otero González
authors.affiliation: Servicio de Nefrología, Complexo Hospitalario Universitario de Ourense, Ourense , España.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Iglesias Forneiro
authors.affiliation: Servicio de Nefrología, Complexo Hospitalario Universitario de Ourense, Ourense , España.
authors.forename: María Jesús
authors.initials: MJ
authors.lastname: Camba Caride
authors.affiliation: Servicio de Nefrología, Complexo Hospitalario Universitario de Ourense, Ourense , España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Pérez Melón
authors.affiliation: Servicio de Nefrología, Complexo Hospitalario Universitario de Ourense, Ourense , España.
authors.forename: María Paz
authors.initials: MP
authors.lastname: Borrajo Prol
authors.affiliation: Servicio de Nefrología, Complexo Hospitalario Universitario de Ourense, Ourense , España.
authors.forename: Enrique
authors.initials: E
authors.lastname: Novoa Fernández
authors.affiliation: Servicio de Nefrología, Complexo Hospitalario Universitario de Ourense, Ourense , España.
authors.forename: Ivan Gilberto
authors.initials: IG
authors.lastname: Arenas Moncaleano
authors.affiliation: Servicio de Nefrología, Complexo Hospitalario Universitario de Ourense, Ourense , España.
authors.forename: Silvia
authors.initials: S
authors.lastname: Uribe Moya
authors.affiliation: Servicio de Nefrología, Complexo Hospitalario Universitario de Ourense, Ourense , España.
authors.forename: Fiz
authors.initials: F
authors.lastname: Lagoa Labrador
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D003191:Comprehensive Health Care; D003928:Diabetic Nephropathies / Q000401:mortality / Q000628:therapy; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000401:mortality*; D016016:Proportional Hazards Models; D006435:Renal Dialysis / Q000401:mortality*; D012189:Retrospective Studies; D012306:Risk; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology; D018581:Technology Transfer; D014511:Uremia / Q000401:mortality* / Q000628:therapy
keywords: Diálisis peritoneal; Peritoneal dialysis; Supervivencia en diálisis; Survival on dialysis