Cargando…

The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis

AIMS: To investigate whether education level of family members predicts all-cause and cardiovascular death and initial-episode peritonitis in patients on peritoneal dialysis (PD). METHODS: A total of 2264 patients on chronic PD were collected from seven centers affiliated with the Socioeconomic Stat...

Descripción completa

Detalles Bibliográficos
Autores principales: Yang, Zhi-Kai, Han, Qing-Feng, Zhu, Tong-Ying, Ren, Ye-Ping, Chen, Jiang-Hua, Zhao, Hui-Ping, Chen, Meng-Hua, Dong, Jie, Wang, Yue, Hao, Chuan- Ming, Zhang, Rui, Zhang, Xiao-Hui, Wang, Mei, Tian, Na, Wang, Hai-Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010396/
https://www.ncbi.nlm.nih.gov/pubmed/24797080
http://dx.doi.org/10.1371/journal.pone.0095894
_version_ 1782479844583407616
author Yang, Zhi-Kai
Han, Qing-Feng
Zhu, Tong-Ying
Ren, Ye-Ping
Chen, Jiang-Hua
Zhao, Hui-Ping
Chen, Meng-Hua
Dong, Jie
Wang, Yue
Hao, Chuan- Ming
Zhang, Rui
Zhang, Xiao-Hui
Wang, Mei
Tian, Na
Wang, Hai-Yan
author_facet Yang, Zhi-Kai
Han, Qing-Feng
Zhu, Tong-Ying
Ren, Ye-Ping
Chen, Jiang-Hua
Zhao, Hui-Ping
Chen, Meng-Hua
Dong, Jie
Wang, Yue
Hao, Chuan- Ming
Zhang, Rui
Zhang, Xiao-Hui
Wang, Mei
Tian, Na
Wang, Hai-Yan
author_sort Yang, Zhi-Kai
collection PubMed
description AIMS: To investigate whether education level of family members predicts all-cause and cardiovascular death and initial-episode peritonitis in patients on peritoneal dialysis (PD). METHODS: A total of 2264 patients on chronic PD were collected from seven centers affiliated with the Socioeconomic Status on the Outcome of Peritoneal Dialysis (SSOP) Study. All demographic, socioeconomic and laboratory data of patients and the education level of all family members were recorded at baseline. Multivariate Cox regression was used to calculate the hazard ratio (HR) of all-cause and cardiovascular mortality, and initial-episode peritonitis with adjustments for recognized traditional factors. RESULTS: There were no significant differences in baseline characteristics between patients with (n = 1752) and without (n = 512) complete education information. According to the highest education level of patients' family, included 1752 patients were divided into four groups, i.e. elementary or lower (15%), middle (27%), high (24%) and more than high school (34%). The family highest education (using elementary school or lower group as reference, hazard ratio and 95% confidence interval of middle school group, high school group and more than high school group was 0.68[0.48–0.96], 0.64[0.45–0.91], 0.66[0.48–0.91], respectively) rather than their average education level or patients' or spouse's education was significantly associated with the higher mortality. Neither patients' nor family education level did correlate to the risk for cardiovascular death or initial-episode peritonitis. CONCLUSIONS: Family members' education level was found to be a novel predictor of PD outcome. Family, as the main source of health care providers, should be paid more attention in our practice.
format Online
Article
Text
id pubmed-4010396
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-40103962014-05-09 The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis Yang, Zhi-Kai Han, Qing-Feng Zhu, Tong-Ying Ren, Ye-Ping Chen, Jiang-Hua Zhao, Hui-Ping Chen, Meng-Hua Dong, Jie Wang, Yue Hao, Chuan- Ming Zhang, Rui Zhang, Xiao-Hui Wang, Mei Tian, Na Wang, Hai-Yan PLoS One Research Article AIMS: To investigate whether education level of family members predicts all-cause and cardiovascular death and initial-episode peritonitis in patients on peritoneal dialysis (PD). METHODS: A total of 2264 patients on chronic PD were collected from seven centers affiliated with the Socioeconomic Status on the Outcome of Peritoneal Dialysis (SSOP) Study. All demographic, socioeconomic and laboratory data of patients and the education level of all family members were recorded at baseline. Multivariate Cox regression was used to calculate the hazard ratio (HR) of all-cause and cardiovascular mortality, and initial-episode peritonitis with adjustments for recognized traditional factors. RESULTS: There were no significant differences in baseline characteristics between patients with (n = 1752) and without (n = 512) complete education information. According to the highest education level of patients' family, included 1752 patients were divided into four groups, i.e. elementary or lower (15%), middle (27%), high (24%) and more than high school (34%). The family highest education (using elementary school or lower group as reference, hazard ratio and 95% confidence interval of middle school group, high school group and more than high school group was 0.68[0.48–0.96], 0.64[0.45–0.91], 0.66[0.48–0.91], respectively) rather than their average education level or patients' or spouse's education was significantly associated with the higher mortality. Neither patients' nor family education level did correlate to the risk for cardiovascular death or initial-episode peritonitis. CONCLUSIONS: Family members' education level was found to be a novel predictor of PD outcome. Family, as the main source of health care providers, should be paid more attention in our practice. Public Library of Science 2014-05-05 /pmc/articles/PMC4010396/ /pubmed/24797080 http://dx.doi.org/10.1371/journal.pone.0095894 Text en © 2014 Yang et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Yang, Zhi-Kai
Han, Qing-Feng
Zhu, Tong-Ying
Ren, Ye-Ping
Chen, Jiang-Hua
Zhao, Hui-Ping
Chen, Meng-Hua
Dong, Jie
Wang, Yue
Hao, Chuan- Ming
Zhang, Rui
Zhang, Xiao-Hui
Wang, Mei
Tian, Na
Wang, Hai-Yan
The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis
title The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis
title_full The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis
title_fullStr The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis
title_full_unstemmed The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis
title_short The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis
title_sort associations between the family education and mortality of patients on peritoneal dialysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010396/
https://www.ncbi.nlm.nih.gov/pubmed/24797080
http://dx.doi.org/10.1371/journal.pone.0095894
work_keys_str_mv AT yangzhikai theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT hanqingfeng theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT zhutongying theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT renyeping theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT chenjianghua theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT zhaohuiping theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT chenmenghua theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT dongjie theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT wangyue theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT haochuanming theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT zhangrui theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT zhangxiaohui theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT wangmei theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT tianna theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT wanghaiyan theassociationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT yangzhikai associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT hanqingfeng associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT zhutongying associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT renyeping associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT chenjianghua associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT zhaohuiping associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT chenmenghua associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT dongjie associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT wangyue associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT haochuanming associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT zhangrui associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT zhangxiaohui associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT wangmei associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT tianna associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis
AT wanghaiyan associationsbetweenthefamilyeducationandmortalityofpatientsonperitonealdialysis