Regional differences in renal replacement therapy in northern Norway 2000–2012
Objective: Distance from residence location to a centre for renal replacement therapy (RRT) may influence patients’ quality of life and prognosis. Northern Norway constitutes 45% of Norway's landmass, but has less than 10% of the population. Methods: In this study, we analysed all patients in n...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2015-02-01
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| Series: | International Journal of Circumpolar Health |
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| Online Access: | http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/24298/pdf_10 |
| _version_ | 1819018732259770368 |
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| author | Jan Norum Torbjørn Leivestad Bjørn Odvar Eriksen Siw Skår Anne Fagerheim Anna Varberg Reisæter |
| author_facet | Jan Norum Torbjørn Leivestad Bjørn Odvar Eriksen Siw Skår Anne Fagerheim Anna Varberg Reisæter |
| author_sort | Jan Norum |
| collection | DOAJ |
| description | Objective: Distance from residence location to a centre for renal replacement therapy (RRT) may influence patients’ quality of life and prognosis. Northern Norway constitutes 45% of Norway's landmass, but has less than 10% of the population. Methods: In this study, we analysed all patients in northern Norway consecutively registered in the Norwegian Renal Registry during 2000–2012. A total of 634 patients (Nordland County 321 patients, Troms County 215 patients and Finnmark County 98 patients) were investigated. Results: There were more smokers (31% vs. 22%) and patients with diabetes (32% vs. 22%) in Finnmark, but the difference did not reach statistical significance. Patients undergoing RRT and living in Finnmark County had a significantly worse outcome (P=0.03). The median survivals after initiation of RRT were 3.8 years (Finnmark), 6.4 years (Troms) and 5.4 years (Nordland), respectively. The most common causes of death were cardiovascular disease (53%), infections (16%), withdrawal from therapy (15%) and malignancy (13%). In a Cox analysis, age (P<0.0001), diabetes (P=0.008) and smoking at any time (P<0.004) were individual factors correlated with inferior prognosis. Conclusion: Age, smoking and diabetes were prognostic factors. Residents of the northernmost county (Finnmark) experienced an inferior prognosis. Long distance from residence location to hospital may be another factor, but this could not be documented. Preventive strategies should be improved. |
| first_indexed | 2024-12-21T03:24:05Z |
| format | Article |
| id | doaj.art-755e48e394c94742984a5b58f3c8b4a1 |
| institution | Directory Open Access Journal |
| issn | 2242-3982 |
| language | English |
| last_indexed | 2024-12-21T03:24:05Z |
| publishDate | 2015-02-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Circumpolar Health |
| spelling | doaj.art-755e48e394c94742984a5b58f3c8b4a12022-12-21T19:17:38ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822015-02-017401510.3402/ijch.v74.2429824298Regional differences in renal replacement therapy in northern Norway 2000–2012Jan Norum0Torbjørn Leivestad1Bjørn Odvar Eriksen2Siw Skår3Anne Fagerheim4Anna Varberg Reisæter5 Department of Clinical Medicine, Faculty of Health Sciences, UiT – The Arctic University of Norway, Tromsø, Norway Norwegian Renal Registry, Section of Nephrology, Department of Transplantation Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway Department of Clinical Medicine, Faculty of Health Sciences, UiT – The Arctic University of Norway, Tromsø, Norway Northern Norway Regional Health Authority Trust, Bodø, Norway Nordland Hospital, Bodø, Norway Norwegian Renal Registry, Section of Nephrology, Department of Transplantation Medicine, Oslo University Hospital, Rikshospitalet, Oslo, NorwayObjective: Distance from residence location to a centre for renal replacement therapy (RRT) may influence patients’ quality of life and prognosis. Northern Norway constitutes 45% of Norway's landmass, but has less than 10% of the population. Methods: In this study, we analysed all patients in northern Norway consecutively registered in the Norwegian Renal Registry during 2000–2012. A total of 634 patients (Nordland County 321 patients, Troms County 215 patients and Finnmark County 98 patients) were investigated. Results: There were more smokers (31% vs. 22%) and patients with diabetes (32% vs. 22%) in Finnmark, but the difference did not reach statistical significance. Patients undergoing RRT and living in Finnmark County had a significantly worse outcome (P=0.03). The median survivals after initiation of RRT were 3.8 years (Finnmark), 6.4 years (Troms) and 5.4 years (Nordland), respectively. The most common causes of death were cardiovascular disease (53%), infections (16%), withdrawal from therapy (15%) and malignancy (13%). In a Cox analysis, age (P<0.0001), diabetes (P=0.008) and smoking at any time (P<0.004) were individual factors correlated with inferior prognosis. Conclusion: Age, smoking and diabetes were prognostic factors. Residents of the northernmost county (Finnmark) experienced an inferior prognosis. Long distance from residence location to hospital may be another factor, but this could not be documented. Preventive strategies should be improved.http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/24298/pdf_10Norwayrenal replacement therapysubarcticsurvival |
| spellingShingle | Jan Norum Torbjørn Leivestad Bjørn Odvar Eriksen Siw Skår Anne Fagerheim Anna Varberg Reisæter Regional differences in renal replacement therapy in northern Norway 2000–2012 International Journal of Circumpolar Health Norway renal replacement therapy subarctic survival |
| title | Regional differences in renal replacement therapy in northern Norway 2000–2012 |
| title_full | Regional differences in renal replacement therapy in northern Norway 2000–2012 |
| title_fullStr | Regional differences in renal replacement therapy in northern Norway 2000–2012 |
| title_full_unstemmed | Regional differences in renal replacement therapy in northern Norway 2000–2012 |
| title_short | Regional differences in renal replacement therapy in northern Norway 2000–2012 |
| title_sort | regional differences in renal replacement therapy in northern norway 2000 2012 |
| topic | Norway renal replacement therapy subarctic survival |
| url | http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/24298/pdf_10 |
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