Study Reveals Similar Survival Rates for Early vs. Conventional Timing of Dialysis Initiation

Among 652 patients with advanced CKD, timing of dialysis therapy initiation was not associated with premature mortality when accounting for lead time bias and survivor bias. Most of the patients (71.3%) did not initiate dialysis during the timeframe of theAmerican Journal of Kidney Diseases study (2005 to 2009). Patients who did not initiate dialysis were older, more likely to be white, and had more favorable laboratory profiles. Overall, 146 initiated dialysis early and 80 had eGFRs decrease to below 10mL/min/1.73m². A total of 426 participants were censored prior to attaining a clear treatment strategy and were considered undeclared.