- Risk for congestive heart failure (CHF)-related hospitalization is higher with hemodialysis vs peritoneal dialysis.
Why this matters
- Findings warrant more careful surveillance of hemodialysis-dependent patients.
- 4754 propensity-matched pairs of patients undergoing hemodialysis and peritoneal dialysis, derived from an overall cohort of 65,899 dialysis patients from the Taiwan National Health Insurance Database (1998-2010).
- Endpoint: CHF symptoms requiring hospitalization.
- Funding: National Cheng-Kung University Hospital, Tainan, Taiwan.
- Crude CHF incidence rate was significantly higher with hemodialysis vs peritoneal dialysis (25.98 vs 19.71 per 1000 patient-years; P<.001 style="list-style-type:circle;">
- Incidence increased with age in both sexes.
- Results were similar in the overall cohort (aHR=1.54; 95% CI, 1.35-1.75).
- Clinical trial vs real-world data.
- Detailed risk factor data were not captured.
- Asian population.