Please use this identifier to cite or link to this item: http://ir.swu.ac.th/jspui/handle/123456789/13366
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dc.contributor.authorChangsirikulchai S.
dc.contributor.authorSriprach S.
dc.contributor.authorThokanit N.S.
dc.contributor.authorJanma J.
dc.contributor.authorChuengsaman P.
dc.contributor.authorSirivongs D.
dc.date.accessioned2021-04-05T03:23:32Z-
dc.date.available2021-04-05T03:23:32Z-
dc.date.issued2018
dc.identifier.issn8968608
dc.identifier.other2-s2.0-85047853120
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85047853120&doi=10.3747%2fpdi.2017.00127&partnerID=40&md5=87eec542cccf057edb1c5118e18fe0de
dc.identifier.urihttp://ir.swu.ac.th/jspui/handle/123456789/13366-
dc.description.abstract♦ Background: The peritoneal dialysis First (PD-First) policy means that PD is the first modality of dialysis chosen for patients with end-stage renal disease (ESRD), as put forth by the Universal Health Coverage (UHC) scheme. It was initiated in Thailand in 2008. Our aim is to analyze patient survival, technique survival, and associated factors. ♦ Methods: Data of PD patients from January 2008 to November 2016 were studied. We calculated patient and technique survival rates (censored for death and kidney transplantation). Factors associated with survival were analyzed by the Cox proportional hazard model. Patient and technique survival rates between 2008 – 2012 and 2013 – 2016 were compared. ♦ Results: Our study included 11,477 patients. The mean (standard deviation [SD]) age at initiation of PD was 54.0 (14.4) years. The level of education in 85.2% of cases was illiterate or primary school. A total of 60.9% of patients developed ESRD secondary to diabetes. The 1-to 5-year patient survival rates were 82.6, 71.8, 64.0, 58.5, and 54.0%, respectively. The first-year technique survival rate was 94.8%. The patient and technique survival rates during 2013 – 2016 were better than those seen during 2008 – 2012. Factors associated with lower patient survival rates were: female gender, increased age at start of PD, coverage with civil servant medical benefit scheme, low educational levels, and a history of diabetes. ♦ Conclusion: Most patients had diabetes and low educational levels as seen in the outcomes in the previous literature. These factors impacted the survival of patients under the PD-First policy. © 2018 International Society for Peritoneal Dialysis.
dc.subjectcreatinine
dc.subjectadult
dc.subjectaged
dc.subjectArticle
dc.subjectchronic kidney failure
dc.subjectcontrolled study
dc.subjectdiabetes mellitus
dc.subjecteducation
dc.subjectend stage renal disease
dc.subjectfemale
dc.subjecthealth care policy
dc.subjecthealth insurance
dc.subjecthemodialysis patient
dc.subjecthuman
dc.subjectkidney transplantation
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmiddle aged
dc.subjectoutcome assessment
dc.subjectoverall survival
dc.subjectpatient survival
dc.subjectperitoneal dialysis
dc.subjectpriority journal
dc.subjectsurvival analysis
dc.subjectsurvival rate
dc.subjecttechnique survival
dc.subjectThai (citizen)
dc.subjectchronic kidney failure
dc.subjectmortality
dc.subjectsurvival analysis
dc.subjectThailand
dc.subjecttreatment outcome
dc.subjectAdult
dc.subjectAged
dc.subjectFemale
dc.subjectHealth Policy
dc.subjectHumans
dc.subjectKidney Failure, Chronic
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPeritoneal Dialysis
dc.subjectSurvival Analysis
dc.subjectThailand
dc.subjectTreatment Outcome
dc.titleSurvival analysis and associated factors in thai patients on peritoneal dialysis under the PD-First policy
dc.typeArticle
dc.rights.holderScopus
dc.identifier.bibliograpycitationPeritoneal Dialysis International. Vol 38, No.3 (2018), p.172-178
dc.identifier.doi10.3747/pdi.2017.00127
Appears in Collections:Scopus 1983-2021

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