Kai Ming Chow|Cheuk?Chun Szeto|Chi Bon Leung|Man Ching Law|Philip Kam?Tao Li
Impact of social factors on patients on peritoneal dialysis
Chinese University of Hong Kong|Chinese University of Hong Kong|Chinese University of Hong Kong|Chinese University of Hong Kong|Chinese University of Hong Kong
clinical outcomes among patients peritoneal dialysis pd might linked medical factors alone studied clinical impact various social factors among patients pdin cohort 102 consecutive patients started pd single centre 2003 2004 evaluated effects social factors development peritonitis risk hospitalization initiation pdof 102 incident pd patients 35 subjects 343 referred nephrologists 3 months dialysis initiation 857 patientyears observation median followup 107 months four subjects died six underwent kidney transplantation patients receiving social security assistance younger 40 years fared worse others terms risk peritonitis mean peritonitisfree time subjects social security assistance 27 months 164 months p 0045 cox proportional hazards analysis need social security assistance illiteracy statistically significant factors associated time first peritonitis adjustment social characteristics relevant coexisting medical factors dependence social security assistance prior pd associated 2fold increased likelihood peritonitis adjusted risk ratio 269 95 confidence interval 110 654 p 0029 total number hospitalization days similar received social security assistance 174146 days range 450 days vs 179140 days range 060 days p 089our results confirm socioeconomic status closely associated rate peritonitis among pd patients longterm reliability social predictors remains validated