SUBJECT CONSULTANT REVIEW

Title of the article
Relationship between dialysis modality and mortality
Authors

McDonald SP, Marshall MR, Johnson DW, Polkinghorne KR.

Journal

J Am Soc Nephrol. 2009 Jan;20(1):155-63. Epub 2008 Dec 17.

Subject Consultant
C. Basile
Score (1 to 3 stars)
**
Comments
Mortality differences between peritoneal dialysis (PD) and hemodialysis (HD) are widely debated. In this study, mortality was compared between patients treated with PD and HD (including home HD) using data from 27,015 patients in the Australia and New Zealand Dialysis and Transplant Registry. Data suggest that the effect of dialysis modality on survival for an individual depends on time, age, and presence of comorbidities. Treatment with PD may be advantageous initially but may be associated with higher mortality after 12 mo.