Death Rate Dropping for Children on Dialysis: Study05/06/13
SATURDAY, May 4 (HealthDay News) -- The death risk for American
children and teens undergoing dialysis for kidney failure has
dropped significantly in recent decades, a new study finds.
Researchers analyzed data from more than 23,000 patients younger
than age 21 who began dialysis between 1990 and 2010. During that
time, there was a progressive decrease in the rates of deaths from
all causes and from heart- and infection-related causes.
"Numerous factors may have contributed to the observed reductions in [death] risk over time," said Dr. Mark Mitsnefes, of Cincinnati Children's Hospital Medical Center, and colleagues. "Improved pre-dialysis care, advances in dialysis technology and greater experience of clinicians may each have played a role."
Further research is needed to pinpoint the specific reasons for
the decreasing death rate among youngsters undergoing dialysis,
The study was published online May 4 in the
Journal of the American Medical Associationto coincide with
a scheduled presentation at the Pediatric Academic Societies annual
meeting in Washington, D.C.
Kidney failure patients have a significantly shortened life
expectancy and the loss of potential years of life is greatest
among children and teens. Kidney transplants offer these youngsters
the best opportunity for survival, growth and development. But 75
percent of these patients require dialysis while waiting for a
kidney transplant, the study authors noted.
Dialysis is a lifesaving treatment for children and teens with
kidney failure who are waiting for a kidney transplant, but the
death rate among youngsters on dialysis is at least 30 times higher
than for those in the general population. The risk is highest among
very young children.
The U.S. National Institute of Diabetes and Digestive and Kidney
treatment options for children with kidney
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