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Similar survival on home hemodialysis and automated peritoneal dialysis: An inception cohort study

Nephrology Dialysis Transplantation Aug 12, 2021

Bitar W, Helve J, Honkanen E, et al. - Similar survival was observed for patients receiving home hemodialysis (HD) vs those on automated peritoneal dialysis (APD), and both groups exhibited comparable characteristics.

  • Intention-to-treat analysis of adult patients who received kidney replacement therapy (KRT) and were on one of the home dialysis modalities at 90 days from initiating KRT.

  • Likelihood of surviving 5 years was 90%, 88% and 56% for home HD, APD, and continuous ambulatory peritoneal dialysis (CAPD) patients, respectively.

  • Post-adjustment for propensity score, the hazard ratio of death was 1.1 for APD and 1.6 for CAPD vs home HD.

  • Higher median age, more comorbidities, and less frequent receipt of kidney transplantation were noted in CAPD patients.

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