Reducing morbidity and mortality in incident hemodialysis patients with an early intervention program
Theodore I Steinman
Correspondence Beth Israel Deaconess Medical Center, 330 Brookline Avenue ST 220, Boston, MA 02215, USA
Email tsteinma@bidmc.harvard.edu
This article has no abstract so we have provided the first paragraph of the full text.
The mortality rate during the first 90 days of dialysis is estimated to be at least 25%.1 The study by Wingard et al. noted that hemodialysis patients selected for an early program of intervention and education (RightStart) had a better survival rate at 3 months, 6 months and 12 months and fewer days in hospital than did individuals who received 'usual care'. A 45% reduction in the risk of death during the first year of dialysis in patients without diabetes was noted in the RightStart cohort compared with the control group.
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