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Associations of marital status with mortality from all causes and mortality from cardiovascular disease in Japanese haemodialysis patients.
Nephrol Dial Transplant. 2013 Apr; 28(4):1013-20.ND

Abstract

BACKGROUND

Marital status is an important social factor associated with increased mortality from cardiovascular disease (CVD) and all causes. However, there has been no study on the association of marital status with mortality in haemodialysis patients.

METHODS

We analysed data from a 5-year prospective cohort study of 1064 Japanese haemodialysis patients aged 30 years or older. Marital status was classified into three groups: married, single and divorced/widowed. Cox's regression was used to estimate multivariate hazard ratios (HRs) [95% confidence intervals (CIs)] for all-cause mortality and CVD mortality according to marital status after adjusting for age, sex, duration of haemodialysis, cause of renal failure, body mass index, systolic blood pressure, total cholesterol, high density lipoprotein-cholesterol, albumin, high-sensitivity C-reactive protein, co-morbid conditions, smoking, alcohol consumption, education levels and job status.

RESULTS

Single patients had higher risks than married patients for mortality from all causes (HR = 1.51, 95% CI: 1.06-2.16) and mortality from CVD (HR = 1.68, 95% CI: 1.03-2.76), and divorced/widowed patients had a higher risk than married patients for mortality from CVD (HR = 1.73, 95% CI: 1.15-2.60). After stratification by age, single patients aged 30-59 years had significantly higher risks for all-cause mortality and CVD mortality.

CONCLUSIONS

The findings suggest that single status is a significant predictor for all-cause mortality and CVD mortality and that divorced/widowed status is a significant predictor for CVD mortality in haemodialysis patients.

Authors+Show Affiliations

School of Medicine,Iwate Medical University, 2-1-1 Nishitokuta, Yahaba, Iwate 028-3694, Japan. ktanno@iwate-med.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23345626

Citation

Tanno, Kozo, et al. "Associations of Marital Status With Mortality From All Causes and Mortality From Cardiovascular Disease in Japanese Haemodialysis Patients." Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, vol. 28, no. 4, 2013, pp. 1013-20.
Tanno K, Ohsawa M, Itai K, et al. Associations of marital status with mortality from all causes and mortality from cardiovascular disease in Japanese haemodialysis patients. Nephrol Dial Transplant. 2013;28(4):1013-20.
Tanno, K., Ohsawa, M., Itai, K., Kato, K., Turin, T. C., Onoda, T., Sakata, K., Okayama, A., & Fujioka, T. (2013). Associations of marital status with mortality from all causes and mortality from cardiovascular disease in Japanese haemodialysis patients. Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, 28(4), 1013-20. https://doi.org/10.1093/ndt/gfs547
Tanno K, et al. Associations of Marital Status With Mortality From All Causes and Mortality From Cardiovascular Disease in Japanese Haemodialysis Patients. Nephrol Dial Transplant. 2013;28(4):1013-20. PubMed PMID: 23345626.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associations of marital status with mortality from all causes and mortality from cardiovascular disease in Japanese haemodialysis patients. AU - Tanno,Kozo, AU - Ohsawa,Masaki, AU - Itai,Kazuyoshi, AU - Kato,Karen, AU - Turin,Tanvir Chowdhury, AU - Onoda,Toshiyuki, AU - Sakata,Kiyomi, AU - Okayama,Akira, AU - Fujioka,Tomoaki, Y1 - 2013/01/22/ PY - 2013/1/25/entrez PY - 2013/1/25/pubmed PY - 2013/10/19/medline SP - 1013 EP - 20 JF - Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association JO - Nephrol. Dial. Transplant. VL - 28 IS - 4 N2 - BACKGROUND: Marital status is an important social factor associated with increased mortality from cardiovascular disease (CVD) and all causes. However, there has been no study on the association of marital status with mortality in haemodialysis patients. METHODS: We analysed data from a 5-year prospective cohort study of 1064 Japanese haemodialysis patients aged 30 years or older. Marital status was classified into three groups: married, single and divorced/widowed. Cox's regression was used to estimate multivariate hazard ratios (HRs) [95% confidence intervals (CIs)] for all-cause mortality and CVD mortality according to marital status after adjusting for age, sex, duration of haemodialysis, cause of renal failure, body mass index, systolic blood pressure, total cholesterol, high density lipoprotein-cholesterol, albumin, high-sensitivity C-reactive protein, co-morbid conditions, smoking, alcohol consumption, education levels and job status. RESULTS: Single patients had higher risks than married patients for mortality from all causes (HR = 1.51, 95% CI: 1.06-2.16) and mortality from CVD (HR = 1.68, 95% CI: 1.03-2.76), and divorced/widowed patients had a higher risk than married patients for mortality from CVD (HR = 1.73, 95% CI: 1.15-2.60). After stratification by age, single patients aged 30-59 years had significantly higher risks for all-cause mortality and CVD mortality. CONCLUSIONS: The findings suggest that single status is a significant predictor for all-cause mortality and CVD mortality and that divorced/widowed status is a significant predictor for CVD mortality in haemodialysis patients. SN - 1460-2385 UR - https://www.unboundmedicine.com/medline/citation/23345626/Associations_of_marital_status_with_mortality_from_all_causes_and_mortality_from_cardiovascular_disease_in_Japanese_haemodialysis_patients_ L2 - https://academic.oup.com/ndt/article-lookup/doi/10.1093/ndt/gfs547 DB - PRIME DP - Unbound Medicine ER -