life span: transplant vs. dialysis

[dialysissw]

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!!

[Wallyz]

The National average in the US is a 20% mortality rate on dialysis.  The mortality rate for transplant is 4%.

NXstage just came out with data that suggests that the dialysis mortality rate can be lowered to 5%annually or lower on nocturnal daily home hemo.


Transplant= daily nocturnal> PD> in center hemo

[dialysissw]

thanks, that info is helpful. Is there specific information for diabetics?

[Jie]

The National average in the US is a 20% mortality rate on dialysis.  The mortality rate for transplant is 4%.

NXstage just came out with data that suggests that the dialysis mortality rate can be lowered 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.

 

[Wallyz]

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.