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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 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.