dc.contributor.author | Norum, Jan | |
dc.contributor.author | Leivestad, Torbjørn | |
dc.contributor.author | Eriksen, Bjørn Odvar | |
dc.contributor.author | Skår, Siw | |
dc.contributor.author | Fagerheim, Anne Kristine | |
dc.contributor.author | Reisæter, Anna Varberg | |
dc.date.accessioned | 2016-03-07T13:41:04Z | |
dc.date.available | 2016-03-07T13:41:04Z | |
dc.date.issued | 2015-02-10 | |
dc.description.abstract | Objectives: 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.
<p>Methods: In this study, we analysed all patients in northern Norway consecutively registered in the Norwegian
Renal Registry during 20002012. A total of 634 patients (Nordland County 321 patients, Troms County 215
patients and Finnmark County 98 patients) were investigated.
<p>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 (P0.03). 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 (PB0.0001), diabetes (P0.008) and smoking at any time (PB0.004) were individual
factors correlated with inferior prognosis.
<p>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. | en |
dc.description | Published version, also available at <a href=http://dx.doi.org/10.3402/ijch.v74.24298>http://dx.doi.org/10.3402/ijch.v74.24298</a> | |
dc.identifier.citation | International Journal of Circumpolar Health 2015, 74: 24298 | |
dc.identifier.cristinID | FRIDAID 1252780 | |
dc.identifier.doi | 10.3402/ijch.v74.24298 | |
dc.identifier.issn | 1239-9736 | |
dc.identifier.uri | https://hdl.handle.net/10037/8728 | |
dc.identifier.urn | URN:NBN:no-uit_munin_8297 | |
dc.language.iso | eng | |
dc.rights.accessRights | openAccess | |
dc.subject | Norway | en |
dc.subject | renal replacement therapy | en |
dc.subject | subarctic | en |
dc.subject | survival | en |
dc.subject | VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750 | no |
dc.subject | VDP::Medical disciplines: 700::Clinical medical disciplines: 750 | en |
dc.title | Regional differences in renal replacement therapy in northern Norway 2000-2012 | |
dc.type | Journal article | |
dc.type | Tidsskriftartikkel | no |