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Volume 65, Issue 2, Pages (February 2004)

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Presentation on theme: "Volume 65, Issue 2, Pages (February 2004)"— Presentation transcript:

1 Volume 65, Issue 2, Pages 597-605 (February 2004)
Body mass index, dialysis modality, and survival: Analysis of the United States Renal Data System Dialysis Morbidity and Mortality Wave II Study  Kevin C. Abbott, Christopher W. Glanton, Fernando C. Trespalacios, David K. Oliver, Maria I. Ortiz, Lawrence Y. Agodoa, David F. Cruess, Paul L. Kimmel  Kidney International  Volume 65, Issue 2, Pages (February 2004) DOI: /j x Copyright © 2004 International Society of Nephrology Terms and Conditions

2 Figure 1 Histogram of body mass index (BMI) of hemodialysis patients with valid BMI. Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions

3 Figure 2 Histogram of body mass index (BMI) of peritoneal dialysis patients with valid BMI. Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions

4 Figure 3 Kaplan-Meier plot of patient survival by quartile of body mass index (BMI) in kg/m2, hemodialysis patients only, Dialysis Morbidity and Mortality Wave II (DMMS Wave II). Patients in the lowest two quartiles of BMI consistently had the worst survival, while those in the highest two quartiles had equivalent survival after approximately 2years. Quartiles of BMI = 4 (>29.9), 3(>25.0–29.9), 2(21.9–24.9), 1(<21.9). Quartile of BMI 1 P < 0.01 by log-rank test vs. highest quartile. Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions

5 Figure 4 Kaplan-Meier plot of patient survival by body mass index (BMI) ≥ 30 kg/m2 or less, hemodialysis patients only, Dialysis Morbidity and Mortality Wave II (DMMS Wave II). Patients with BMI ≥ 30 kg/m2 had improved survival compared to those with lower BMI, P < 0.01 by log-rank test. Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions

6 Figure 5 Kaplan-Meier plot of patient survival by quartile of body mass index (BMI) in kg/m2, peritoneal dialysis patients only, Dialysis Morbidity and Mortality Wave II (DMMS Wave II). Patients in the lowest quartile of BMI had the lowest survival, but this was not statistically significant (P = 0.09 by Log Rank test vs. highest quartile). Quartiles of BMI = 4 (>29.5), 3(>25.7–29.5), 2(22.4–25.7), 1(<22.4). Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions

7 Figure 6 Analysis fromFigure 5censored for change to hemodialysis showed a lower rate of death overall, but a similar relationship between body mass index (BMI) and survival. Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions

8 Figure 7 Kaplan-Meier plot of patient survival by body mass index (BMI) ≥30 kg/m2 or less, peritoneal dialysis patients only, Dialysis Morbidity and Mortality Wave II (DMMS Wave II). Patients with BMI ≥30 kg/m2 did not have improved survival compared to those with lower BMI, P > 0.05 by log-rank test. Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions

9 Figure 8 Analysis fromFigure 7censored for change to hemodialysis showed a lower rate of death overall, but a similar relationship between BMI and survival. Kidney International  , DOI: ( /j x) Copyright © 2004 International Society of Nephrology Terms and Conditions


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