Abstract
Background: Hemodialysis is the largest selection of renal replacement therapy in people with renal failure. Indonesian Renal Registry (IRR) in 2012 showed that the main cause as a comorbid of renal failure with hemodialysis is diabetes and hypertension. Survival for people with hemodialysis is one outcome of hemodialysis services. The purpose of this study was to determine the effect of comorbidities (diabetes and hypertension) on survival in person with hemodialysis. Design: The study design was a retrospective cohort on Indonesian Renal Registry in 2007–2012. Analysis using Kaplan Meier analysis and time-dependent Cox regression. Result: The results showed the survival of 6 years a person with hemodialysis was 44.3%. Hazard ratio (HR) for diabetes 1.17 (1.12 to 1.22), HR for hypertension 1.04 (1.00 to 1.08), while hypertension and diabetes HR 1.24 (11.18 to 1.31). Conclusion: Comorbid have an influence on the survival of people with hemodialysis. This study suggestthathe importance of comorbid control can extend the life expectancy of person with hemodialysis. For the expected IRR to improve data quality by increasing the participation of renal units in the IRR.
Published Version
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