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- Title
Patients with diabetic nephropathy on renal replacement therapy in England and Wales.
- Authors
D. Nitsch; R. Burden; R. Steenkamp; D. Ansell; C. Byrne; F. Caskey; P. Roderick; T. Feest
- Abstract
Background: The incidence of patients with diabetic nephropathy (DN) who start renal replacement therapy (RRT) is increasing. Aim: To describe the characteristics and survival of patients with DN starting RRT in the UK Design: Retrospective cohort study. Methods: We analysed data for incident patients on RRT in centres participating in the Renal Association UK Renal Registry (UKRR), 1997 â2004, comparing DN vs. non-DN patients with regard to survival, social deprivation, ethnicity, gender, and age, using Cox regression models. Results: DN was the most common renal disease (19%) in the 20 532 patients starting RRT. The majority of patients with DN (77%) were Caucasian. Within the Caucasian population, DN patients were more likely to be from a socially deprived area (p Discussion: Patients with DN starting RRT are more likely to come from socially deprived areas. Relative risk of death is greatest in working-age DN patients and is not fully explained by recorded co-morbidity. This emphasizes the need for focused diabetes care in poorer areas, and assessment of quality of care of diabetic patients on RRT.
- Subjects
PEOPLE with diabetes; ATHLETES with diabetes; ENDOCRINE diseases; ENDOCRINE gland radiography
- Publication
QJM: An International Journal of Medicine, 2007, Vol 100, Issue 9, p551
- ISSN
1460-2725
- Publication type
Article
- DOI
10.1093/qjmed/hcm062