CVC dialysis mortality increase

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Intravenous literature: Medpagetoday report “Central venous catheters may account for the poorer survival among hemodialysis patients compared with peritoneal dialysis, according to a registry study.

Use of a central port for dialysis was associated with 80% elevated one-year mortality risk compared with peritoneal dialysis (adjusted hazard ratio 1.8, 95% confidence interval 1.6 to 1.9), Jeffrey Perl, MD, of Saint Michael’s Hospital in Toronto, and colleagues found.

But hemodialysis through an arteriovenous fistula or graft yielded similar one-year survival to that of peritoneal dialysis (adjusted HR 0.9, 95% CI 0.8 to 1.1), they reported online in the Journal of the American Society of Nephrology.”

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