Dialysis modality and incident atrial fibrillation in older patients with ESRD
American Journal of Kidney Diseases Nov 21, 2018
Niu J, et al. - In this retrospective cohort study, researchers compared the incidence of atrial fibrillation (AF) between patients receiving hemodialysis and peritoneal dialysis in the US Renal Data System. Participants were older patients (aged ≥ 67 years) with Medicare Parts A and B who initiated dialysis therapy (1996-2011) without a diagnosis of AF during the prior 2 years. A new diagnosis of AF was assessed during a follow up of ≤ 36 months. The estimation of cause-specific HRs was done by performing time-to-event analysis using multivariable Cox proportional hazards regression, while censoring at modality switch, kidney transplantation, or death. As per observations, there was a lower incidence of AF during the first 90 days of end-stage renal disease among patients initiating dialysis therapy using peritoneal dialysis; however, no major difference was seen in AF incidence thereafter.
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