Association of education level with dialysis outcome
- 27 October 2011
- journal article
- research article
- Published by Wiley in Hemodialysis International
- Vol. 16 (1), 82-88
- https://doi.org/10.1111/j.1542-4758.2011.00615.x
Abstract
The impact of education on health care outcome has been studied in the past, but its role in the dialysis population is unclear. In this report, we evaluated this association. We used the United States Renal Data System data of end-stage renal disease patients aged ≥18 years. Education level at the time of end-stage renal disease onset was the primary variable of interest. The outcome of the study was patient mortality. We used four categories of education level: 0 = less than 12 years of education; 1 = high school graduate; 2 = some college; 3 = college graduate. Subgroups based on age, race, sex, donor type, and diabetic status were also analyzed. After adjustments for covariates in the Cox model, using individuals with less than 12 years of education as a reference, patients with college education showed decreased mortality with hazard ratio of 0.81 (95% confidence interval 0.69–0.95), P = 0.010. In conclusion, we showed that higher education level is associated with improved survival of patients on dialysis.Keywords
This publication has 34 references indexed in Scilit:
- Association between social adaptability index and survival of patients with chronic kidney diseaseNephrology Dialysis Transplantation, 2010
- Excerpts From the US Renal Data System 2009 Annual Data ReportAmerican Journal of Kidney Diseases, 2010
- Factors affecting kidney‐transplant outcome in recipients with lupus nephritisClinical Transplantation, 2007
- Role of Socioeconomic Status in Kidney Transplant OutcomeClinical Journal of the American Society of Nephrology, 2006
- Comorbidity, urea kinetics, and appetite in continuous ambulatory peritoneal dialysis patients: Their interrelationship and prediction of survivalAmerican Journal of Kidney Diseases, 1995
- Self‐report questionnaires in five rheumatic diseases comparisons of health status constructs and associations with formal education levelArthritis & Rheumatism, 1989
- Predictors of physical disability in elderly blacks and whites of the Charleston heart studyJournal of Clinical Epidemiology, 1989
- Risk of functional decline among well eldersJournal of Clinical Epidemiology, 1989
- A new method of classifying prognostic comorbidity in longitudinal studies: Development and validationJournal of Chronic Diseases, 1987
- Active Life ExpectancyNew England Journal of Medicine, 1983