Most Read Articles
Jenny Ng, 22 Sep 2015

The Asia Pacific League of Associations for Rheumatology (APLAR), representing 12 countries across the Asia Pacific, recently published evidence-based recommendations for the treatment of Asian patients with rheumatoid arthritis (RA).

Stephen Padilla, 01 Dec 2017
Walking or cycling to work is protective against hospitalization for sciatica, whereas smoking and obesity increase the risk, according to a recent study.

Dialysis increases mortality risk in elderly hip fracture patients

03 Oct 2017
Nearly 40,000 kidney patients were reported in Malaysia since last year.

Dialysis appears to raise the risk of mortality in elderly patients with hip fracture, reveals a new retrospective cohort study from Taiwan.

Investigators retrieved relevant medical data of 61,346 elderly patients with first incidence of hip fracture. Of these, 997 were undergoing dialysis while the remaining 60,349 were not. Matching for age and sex at a 1:5 ratio resulted in the final study sample size of 5,982 individuals, of which 997 were dialysis patients while 4,985 were not.

Compared with matched controls, patients on dialysis were significantly more likely to have femoral neck fracture (p<0.001) and be treated with arthroplasty (p<0.001). Mortality rate was also significantly higher in the dialysis group than in the nondialysis group (91 vs 61 percent; p<0.001). A total of 3,935 mortality events were reported.

Unadjusted Cox proportional models showed that dialysis significantly increased the risk of mortality in both male and female patients at 0 to 3 months (hazard ratio [HR], 2.58; 95 percent CI, 2.13 to 3.13; p<0.001), 3 to 12 months (HR, 2.95; 2.48 to 3.51; p<0.001), 1 to 6 years (HR, 2.84; 2.55 to 3.15; p<0.001) and 6 to 10 years (HR, 2.39; 1.94 to 2.93; p<0.001) after fracture.

Adjusting for fracture site, comorbidities, sex and age did not attenuate the significant impact of dialysis on mortality at 0 to 3 months (HR, 2.36 1.94 to 2.87; p<0.001), 3 to 12 months (HR, 2.49; 2.09 to 2.98; p<0.001), 1 to 6 years (HR, 2.70; 2.43 to 3.00; p<0.001) and 6 to 10 years (HR, 2.32; 1.89 to 2.86; p<0.001) after the fracture. 

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Most Read Articles
Jenny Ng, 22 Sep 2015

The Asia Pacific League of Associations for Rheumatology (APLAR), representing 12 countries across the Asia Pacific, recently published evidence-based recommendations for the treatment of Asian patients with rheumatoid arthritis (RA).

Stephen Padilla, 01 Dec 2017
Walking or cycling to work is protective against hospitalization for sciatica, whereas smoking and obesity increase the risk, according to a recent study.