Introduction to Mortality.


We subsequently present data regarding weekly and daily mortality rates during the first year of treatment in patients who initiated dialysis in freestanding facilities in either 2004 or 2011. Mortality rates are highly elevated immediately after initiation of outpatient dialysis, and only gradually decline during the first 26 weeks. Interestingly, very high early mortality risk is apparent not only in elderly and very elderly patients, but also in much younger patients. The juxtaposition of data from 2004 and 2011 nevertheless demonstrates clear progress in reducing mortality risk during the first year, with particularly large gains during the second and third months. Improvements in early mortality translate as well to longer expected remaining lifetimes for incident dialysis patients, which we describe here. Between cohorts of incident patients in 2004 and 2010, patients between the ages of 20 and 34 years achieved gains in life expectancy exceeding two years. Gains in older age brackets were smaller in magnitude, but still evident.

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