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10.1371/journal.pone.0155271

http://scihub22266oqcxt.onion/10.1371/journal.pone.0155271
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suck abstract from ncbi


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pmid27196564
      PLoS+One 2016 ; 11 (5 ): e0155271
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  • The Survival of Roma Minority Patients on Chronic Hemodialysis Therapy - A Romanian Multicenter Survey #MMPMID27196564
  • Gadalean F ; Lighezan D ; Stoian D ; Schiller O ; Timar R ; Timar B ; Bob F ; Donciu MD ; Munteanu M ; Mihaescu A ; Covic A ; Schiller A
  • PLoS One 2016[]; 11 (5 ): e0155271 PMID27196564 show ga
  • OBJECTIVE: The Roma minority represents the largest ethnic group in Central and South-East European countries. Data regarding the mortality in Roma hemodialysis subjects are limited. We evaluated the 3 year mortality of ESRD Roma patients treated with hemodialysis (HD). STUDY DESIGN AND SETTING: Our prospective cohort study included 600 ESRD patients on HD therapy recruited from 7 HD centers, from the main geographical regions of Romania. The median age of the patients was 56 (19) years, 332 (55.3%) being males, 51 (8.5%) having Roma ethnicity. RESULTS: Roma ESRD patients initiate dialysis at a younger age, 47.8 years vs. 52.3 years (P = 0.017), present higher serum albumin (P = 0.013) and higher serum phosphate levels (P = 0.021). In the Roma group, the overall 3 year mortality was higher when compared to Caucasians (33.3% vs. 24.8%). The multivariate survival analysis revealed that being of Roma ethnicity is an independent risk factor for mortality (HR = 1.74; 95% CI = 1.04-2.91; P = 0.035). CONCLUSIONS: Roma patients with ESRD initiate HD therapy at a younger age as compared to Caucasians. They have a higher 3 year mortality rate and are dying at a younger age. Roma ethnicity represents an independent risk factor for mortality in our cohort.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Chronic Disease [MESH]
  • |End Stage Liver Disease/*ethnology/mortality/*therapy [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Multivariate Analysis [MESH]
  • |Phosphates/blood [MESH]
  • |Prevalence [MESH]
  • |Proportional Hazards Models [MESH]
  • |Prospective Studies [MESH]
  • |Renal Dialysis/*methods [MESH]
  • |Risk Factors [MESH]
  • |Roma [MESH]
  • |Romania [MESH]
  • |Serum Albumin/chemistry [MESH]
  • |Time Factors [MESH]


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