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THE CHOICE STUDY

机译:选择研究

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摘要

The Long awaited results of the CHOICE (Choices for Healthy Outcomesin Caring for ESRD) Study have now been published, accompanied by a very thoughtful editorial (1,2). The CHOICE Study was-a collaboration between the Dialysis Clinic, Inc. (DCI) nonprofit chain and the investigators at Johns Hopkins University, with the addition of peritoneal dialysis (PD) patients from the Yale-New Haven Group (Alan Kliger and associates). This study was begun a decade ago. The investigators collected a host of important and pertinent data near the start of dialysis in PD and hemodialysis (HD) patients, and then followed the outcome. They found that the risk of death is increased on PD relative to HDafter the first year on dialysis. This is in contrast to previous studies from Canada and Denmark that show a survival advantage of PD over HD for the initial. 1.5 - 2 years of dialysis (3,4). We need to examine why the resuLts of this study are different.
机译:CHOICE(选择ESRD的健康结果选择)研究的期待已久的结果现已发表,并附有非常周到的社论(1,2)。 CHOICE研究是由透析诊所公司(DCI)非营利链与约翰·霍普金斯大学的研究人员合作完成的,另外还有来自耶鲁-纽黑文集团的腹膜透析(PD)患者(艾伦·克里格及其同事) 。这项研究始于十年前。研究人员在PD和血液透析(HD)病人开始透析之前收集了许多重要且相关的数据,然后追踪结果。他们发现,透析第一年后,相对于HD,PD的死亡风险增加。这与来自加拿大和丹麦的先前研究相反,后者先前显示PD较HD具有生存优势。透析1.5-2年(3,4)。我们需要研究为什么这项研究的结果不同。

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