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Aims

To investigate whether education level of family members predicts all-cause and cardiovascular death and initial-episode peritonitis in patients on peritoneal dialysis PD.

Methods

A total of 2264 patients on chronic PD were collected from seven centers affiliated with the Socioeconomic Status on the Outcome of Peritoneal Dialysis SSOP Study. All demographic, socioeconomic and laboratory data of patients and the education level of all family members were recorded at baseline. Multivariate Cox regression was used to calculate the hazard ratio HR of all-cause and cardiovascular mortality, and initial-episode peritonitis with adjustments for recognized traditional factors.

Results

There were no significant differences in baseline characteristics between patients with n = 1752 and without n = 512 complete education information. According to the highest education level of patients- family, included 1752 patients were divided into four groups, i.e. elementary or lower 15%, middle 27%, high 24% and more than high school 34%. The family highest education using elementary school or lower group as reference, hazard ratio and 95% confidence interval of middle school group, high school group and more than high school group was 0.680.48–0.96, 0.640.45–0.91, 0.660.48–0.91, respectively rather than their average education level or patients- or spouse-s education was significantly associated with the higher mortality. Neither patients- nor family education level did correlate to the risk for cardiovascular death or initial-episode peritonitis.

Conclusions

Family members- education level was found to be a novel predictor of PD outcome. Family, as the main source of health care providers, should be paid more attention in our practice.



Autor: Zhi-Kai Yang, Qing-Feng Han, Tong-Ying Zhu, Ye-Ping Ren, Jiang-Hua Chen, Hui-Ping Zhao, Meng-Hua Chen, Jie Dong , Yue Wang, Chuan

Fuente: http://plos.srce.hr/



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