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Differences in the treatment of male and female patients with end-stage renal disease.终末期肾病男性和女性患者治疗上的差异。
CMAJ. 1994 Nov 1;151(9):1283-8.
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Dialysis therapy among elderly patients; data from the Canadian Organ Replacement Register, 1981-1991.老年患者的透析治疗；来自加拿大器官替代登记处的数据，1981 - 1991年
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The 1998 report of the Japanese National Registry data on pediatric end-stage renal disease patients.1998年日本国家登记处关于小儿终末期肾病患者的数据报告。
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引用本文的文献

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Sex or body size? Selection of dialysis type revisited.性别还是体型？透析类型的选择再探讨。
CMAJ. 1999 Mar 23;160(6):828-9.
2
Body size, not sex, is responsible for differences in type of dialysis.透析类型的差异是由体型而非性别造成的。
CMAJ. 1999 Mar 23;160(6):818-9.
3
Reflections on supply-demand mismatch in dialysis services in Ontario.安大略省透析服务供需不匹配的思考
CMAJ. 1995 Sep 1;153(5):575-81.

本文引用的文献

1
Non-medical factors that impact on ESRD modality selection.
Kidney Int Suppl. 1993 Feb;40:S120-7.
2
Dialysis utilization in the Toronto region from 1981 to 1992. Toronto Region Dialysis Committee.1981年至1992年多伦多地区的透析使用情况。多伦多地区透析委员会。
CMAJ. 1994 Apr 1;150(7):1099-105.
3
Dialytic therapy for diabetic patients with terminal renal failure.
Curr Opin Nephrol Hypertens. 1993 Nov;2(6):868-75. doi: 10.1097/00041552-199311000-00003.
4
Physician treatment of men and women patients: sex bias or appropriate care?
Med Care. 1981 Jun;19(6):609-32. doi: 10.1097/00005650-198106000-00005.
5
Treatment bias in the management of end-stage renal disease.终末期肾病治疗中的治疗偏倚。
Am J Kidney Dis. 1983 Jul;3(1):21-6. doi: 10.1016/s0272-6386(83)80005-5.
6
Racial, sexual and age inequalities in chronic dialysis.慢性透析中的种族、性别和年龄不平等问题。
Nephron. 1987;45(4):257-63. doi: 10.1159/000184160.
7
Sex bias in considering coronary bypass surgery.冠状动脉搭桥手术考量中的性别偏见。
Ann Intern Med. 1987 Jul;107(1):19-25. doi: 10.7326/0003-4819-107-1-19.
8
Detection bias in the diagnostic pursuit of lung cancer.
Am J Epidemiol. 1988 Nov;128(5):1016-26. doi: 10.1093/oxfordjournals.aje.a115046.
9
Access to kidney transplantation. Has the United States eliminated income and racial differences?肾移植的可及性。美国是否消除了收入和种族差异？
Arch Intern Med. 1988 Dec;148(12):2594-600. doi: 10.1001/archinte.148.12.2594.
10
Mortality rates among patients with end-stage renal disease in Canada, 1981-86.1981 - 1986年加拿大终末期肾病患者的死亡率
CMAJ. 1989 Oct 1;141(7):677-82.

终末期肾病男性和女性患者治疗上的差异。

Differences in the treatment of male and female patients with end-stage renal disease.

作者信息

Florakas C, Wilson R, Toffelmire E, Godwin M, Morton R

机构信息

Department of Family Medicine, Queen's University, Kingston, Ont.

出版信息

CMAJ. 1994 Nov 1;151(9):1283-8.

PMID:7954176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1337328/
Abstract

OBJECTIVE

To determine whether there is a difference in the allocation of types of dialysis to male and female patients with end-stage renal disease (ESRD).

DESIGN

Descriptive study.

SETTING

Canada.

PATIENTS

All patients registered with the Canadian Organ Replacement Register (CORR) whose treatment began between 1981 and 1991. Data were obtained for 19,732 patients, of whom 18,010 had sufficiently complete data and were being treated with either peritoneal dialysis or hemodialysis 3 months after the diagnosis of ESRD.

OUTCOME MEASURES

Proportions of patients receiving peritoneal dialysis and hemodialysis according to sex.

RESULTS

Significantly more male (58.1%) than female (50.8%) patients were receiving hemodialysis 3 months after diagnosis (p < 0.00001). Multivariate analysis to control for the possible confounding effects of age, province of treatment, diagnosis, concurrent illness and year of diagnosis did not explain the difference.

CONCLUSIONS

In Canada from 1981 to 1991 male patients were more likely than female patients to receive hemodialysis for the treatment of ESRD. Additional research is needed to explain this finding.

摘要

目的

确定终末期肾病（ESRD）男性和女性患者在透析类型分配上是否存在差异。

设计

描述性研究。

地点

加拿大。

患者

所有在加拿大器官替代登记处（CORR）登记且于1981年至1991年开始治疗的患者。获取了19732例患者的数据，其中18010例患者数据足够完整，且在ESRD诊断后3个月接受腹膜透析或血液透析治疗。

观察指标

按性别划分接受腹膜透析和血液透析的患者比例。

结果

诊断后3个月接受血液透析的男性患者（58.1%）显著多于女性患者（50.8%）（p < 0.00001）。对年龄、治疗省份、诊断、并发疾病和诊断年份可能存在的混杂效应进行多变量分析，未能解释这一差异。

结论

1981年至1991年在加拿大，男性患者比女性患者更有可能接受血液透析治疗ESRD。需要进一步研究来解释这一发现。