Health care resources expended on patients with end-stage renal disease (ESRD) have increased extensively, with uncertain changes in outcomes. In this study, we examined survival trends in the United States in patients with ESRD receiving renal replacement therapy with long-term dialysis or transplantation relative to the general population.Secondary analysis of records from the US Renal Data System.American adults receiving renal replacement therapy in 1977, 1987, 1997, and 2007.Year.1-year survival.Abridged period life tables were created for each cross-sectional patient group and were compared with general US population life tables to measure relative survival, calculated as differences in average survival between the general US and the ESRD populations.From 1977 to 2007, ESRD patient groups became significantly older (mean age increased from 47 to 58 years) and sicker (ESRD due to diabetes increased from 9.1

作者：Carl, van Walraven；Douglas G, Manuel；Greg, Knoll

来源：American journal of kidney diseases : the official journal of the National Kidney Foundation 2014 年 63卷 3期