| Title | The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis |
| Authors | Yang, Zhi-Kai Han, Qing-Feng Zhu, Tong-Ying Ren, Ye-Ping Chen, Jiang-Hua Zhao, Hui-Ping Chen, Meng-Hua Dong, Jie Wang, Yue Hao, Chuan-Ming Zhang, Rui Zhang, Xiao-Hui Wang, Mei Tian, Na Wang, Hai-Yan |
| Affiliation | Peking Univ, Key Lab Renal Dis, Minist Educ, Inst Nephrol,Dept Med,Renal Div,Hosp 1,Minist Hlt, Beijing 100871, Peoples R China. Peking Univ, Hosp 3, Dept Nephrol, Beijing 100871, Peoples R China. Fudan Univ, Huashan Hosp, Dept Nephrol, Shanghai 200433, Peoples R China. Harbin Med Univ, Affiliated Hosp 2, Dept Nephrol, Harbin, Heilongjiang, Peoples R China. Zhejiang Univ, Coll Med, Affiliated Hosp 1, Kidney Dis Ctr, Hangzhou 310003, Zhejiang, Peoples R China. Peking Univ, Peoples Hosp, Dept Nephrol, Beijing 100871, Peoples R China. Ningxia Med Univ, Gen Hosp, Dept Nephrol, Ningxia, Peoples R China. |
| Keywords | CHRONIC KIDNEY-DISEASE SOCIAL SUPPORT HEMODIALYSIS-PATIENTS TECHNIQUE FAILURE OUTCOMES CAREGIVERS IMPACT SURVIVAL EPISODE UPDATE |
| Issue Date | 2014 |
| Publisher | plos one |
| Citation | PLOS ONE.2014,9,(5). |
| Abstract | Aims: To investigate whether education level of family members predicts all-cause and cardiovascular death and initial-episode peritonitis in patients on peritoneal dialysis (PD). Methods: A total of 2264 patients on chronic PD were collected from seven centers affiliated with the Socioeconomic Status on the Outcome of Peritoneal Dialysis (SSOP) Study. All demographic, socioeconomic and laboratory data of patients and the education level of all family members were recorded at baseline. Multivariate Cox regression was used to calculate the hazard ratio (HR) of all-cause and cardiovascular mortality, and initial-episode peritonitis with adjustments for recognized traditional factors. Results: There were no significant differences in baseline characteristics between patients with (n = 1752) and without (n = 512) complete education information. According to the highest education level of patients' family, included 1752 patients were divided into four groups, i.e. elementary or lower (15%), middle (27%), high (24%) and more than high school (34%). The family highest education (using elementary school or lower group as reference, hazard ratio and 95% confidence interval of middle school group, high school group and more than high school group was 0.68[0.48-0.96], 0.64[0.45-0.91], 0.66[0.48-0.91], respectively) rather than their average education level or patients' or spouse's education was significantly associated with the higher mortality. Neither patients' nor family education level did correlate to the risk for cardiovascular death or initial-episode peritonitis. Conclusions: Family members' education level was found to be a novel predictor of PD outcome. Family, as the main source of health care providers, should be paid more attention in our practice. |
| URI | http://hdl.handle.net/20.500.11897/159956 |
| ISSN | 1932-6203 |
| DOI | 10.1371/journal.pone.0095894 |
| Indexed | SCI(E) PubMed |
| Appears in Collections: | 第一医院 第三医院 人民医院 |
