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Association of education level with dialysis outcome.

Authors
  • 1
  • 1 Division of Nephrology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. [email protected] , (Israel)
Type
Published Article
Journal
Hemodialysis international. International Symposium on Home Hemodialysis
1542-4758
Publication Date
Volume
16
Issue
1
Pages
82–88
Identifiers
DOI: 10.1111/j.1542-4758.2011.00615.x
PMID: 22098764
Source
Medline
License
Unknown

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.

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