I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: Transplant Discussion => Topic started by: dialysissw on September 10, 2009, 02:16:33 PM

Title: life span: transplant vs. dialysis
Post by: dialysissw on September 10, 2009, 02:16:33 PM
Does anyone know what the stats and research say about a Diabetic patient's lifespan on dialysis versus a transplant. I've been told by a nephrologist that a person with diabetes is alot better off with a transplant versus dialysis, that simply if you are diabetic and on dialysis your life span isn't too long. How many years are we looking at? I want some confirmation of this.

Thanks!!
Title: Re: life span: transplant vs. dialysis
Post by: Wallyz on September 10, 2009, 03:35:12 PM
The National average in the US is a 20% mortality rate on dialysis.  The mortality rate for transplant is 4%. (http://www.ustransplant.org/csr/current/nationalViewer.aspx?o=KI)

NXstage just came out with data that suggests that the dialysis mortality rate can be lowered  (http://ihatedialysis.com/forum/index.php?topic=15356.0)to 5%annually or lower on nocturnal daily home hemo.


Transplant= daily nocturnal> PD> in center hemo
Title: Re: life span: transplant vs. dialysis
Post by: dialysissw on September 10, 2009, 04:34:17 PM
thanks, that info is helpful. Is there specific information for diabetics?
Title: Re: life span: transplant vs. dialysis
Post by: Jie on September 10, 2009, 08:51:11 PM
The National average in the US is a 20% mortality rate on dialysis.  The mortality rate for transplant is 4%. (http://www.ustransplant.org/csr/current/nationalViewer.aspx?o=KI)

NXstage just came out with data that suggests that the dialysis mortality rate can be lowered  (http://ihatedialysis.com/forum/index.php?topic=15356.0)to 5%annually or lower on nocturnal daily home hemo.


Transplant= daily nocturnal> PD> in center hemo

This is an unfair comparison. A lot of death with dialysis are old folk, or too sick to transplant. The annual mortality rate on the transplant waiting list is about 6%-7%.  Waiting list and first-year transplant populations are much more comparable.

 
Title: Re: life span: transplant vs. dialysis
Post by: Wallyz on September 10, 2009, 08:57:44 PM
I disagree, because the wait list mortality rate ignores the people who get too sick to stay on the list.  Often, that is due to insufficient dialysis.

Regardless, an improvement from 7% mortality to 4% makes it worth it.