Publications by authors named "Marcia Regina Gianotti Franco"
The impact of body mass index (BMI) variation on mortality of incident elderly patients on peritoneal dialysis: a joint model analysis.
J Bras Nefrol
July 2018
Article Synopsis
- The study investigates the impact of body mass index (BMI) on mortality in elderly patients undergoing peritoneal dialysis (PD) over time.
- It follows a cohort of 674 patients to compare those starting on PD versus those switching from hemodialysis, evaluating various factors such as age, malnutrition, diabetes prevalence, and blood pressure.
- Results show that higher BMI variation is associated with lower mortality risk, suggesting that an increase in BMI could be protective for these patients.
With the increase in life expectancy, the improvement of therapeutic arsenal, knowledge and control of chronic degenerative diseases, the world population has reached older age groups. As advanced age is a risk factor for chronic kidney disease (CKD), along with the bonus of increased survival, today we are experiencing the greatest burden of progressive incidence of elderly patients on renal replacement therapy (RRT). Dialysis in elderly patients, which for three decades was considered out of question, today is a routine for nephrologists, who face the challenge of providing care to elderly patients with CKD stage 5 with dialysis indication.
View Article and Find Full Text PDFIntroduction: Automated assisted peritoneal dialysis (AAPD) has been shown to be successful as renal replacement therapy for elderly and physically incapable end-stage renal disease (ESRD) patients. In early 2003, a pioneer AAPD program was initiated at GAMEN Renal Clinic in Rio de Janeiro, Brazil. ♢
Objective: We evaluated the results of an AAPD program offered as an option to elderly ESRD patients with physical or cognitive debilities or as last resort to patients with vascular access failure or hemodynamic instability during hemodialysis.
Body size and longitudinal body weight changes do not increase mortality in incident peritoneal dialysis patients of the Brazilian peritoneal dialysis multicenter study.
Clinics (Sao Paulo)
January 2013
Objectives: To determine the roles of body size and longitudinal body weight changes in the survival of incident peritoneal dialysis patients.
Patients And Methods: Patients (n = 1911) older than 18 years of age recruited from 114 dialysis centers (Dec/ 2004-Oct/2007) and participating in the Brazilian Peritoneal Dialysis Multicenter Cohort Study were included. Clinical and laboratory data were collected monthly (except if the patient received a transplant, recovered renal function, was transferred to hemodialysis, or died).