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...
Published in: | International Journal of Circumpolar Health |
---|---|
Main Authors: | , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Taylor & Francis Group
2015
|
Subjects: | |
Online Access: | https://doi.org/10.3402/ijch.v74.24298 https://doaj.org/article/755e48e394c94742984a5b58f3c8b4a1 |
id |
ftdoajarticles:oai:doaj.org/article:755e48e394c94742984a5b58f3c8b4a1 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:755e48e394c94742984a5b58f3c8b4a1 2023-05-15T15:08:32+02:00 Regional differences in renal replacement therapy in northern Norway 2000–2012 Jan Norum Torbjørn Leivestad Bjørn Odvar Eriksen Siw Skår Anne Fagerheim Anna Varberg Reisæter 2015-02-01T00:00:00Z https://doi.org/10.3402/ijch.v74.24298 https://doaj.org/article/755e48e394c94742984a5b58f3c8b4a1 EN eng Taylor & Francis Group http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/24298/pdf_10 https://doaj.org/toc/2242-3982 2242-3982 doi:10.3402/ijch.v74.24298 https://doaj.org/article/755e48e394c94742984a5b58f3c8b4a1 International Journal of Circumpolar Health, Vol 74, Iss 0, Pp 1-5 (2015) Norway renal replacement therapy subarctic survival Arctic medicine. Tropical medicine RC955-962 article 2015 ftdoajarticles https://doi.org/10.3402/ijch.v74.24298 2022-12-31T11:38:33Z 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. Article in Journal/Newspaper Arctic Circumpolar Health Finnmark International Journal of Circumpolar Health Nordland Nordland Northern Norway Subarctic Finnmark Nordland Troms Directory of Open Access Journals: DOAJ Articles Arctic Norway International Journal of Circumpolar Health 74 1 24298 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Norway renal replacement therapy subarctic survival Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Norway renal replacement therapy subarctic survival Arctic medicine. Tropical medicine RC955-962 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 |
topic_facet |
Norway renal replacement therapy subarctic survival Arctic medicine. Tropical medicine RC955-962 |
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. |
format |
Article in Journal/Newspaper |
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 |
title |
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_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_sort |
regional differences in renal replacement therapy in northern norway 2000–2012 |
publisher |
Taylor & Francis Group |
publishDate |
2015 |
url |
https://doi.org/10.3402/ijch.v74.24298 https://doaj.org/article/755e48e394c94742984a5b58f3c8b4a1 |
geographic |
Arctic Norway |
geographic_facet |
Arctic Norway |
genre |
Arctic Circumpolar Health Finnmark International Journal of Circumpolar Health Nordland Nordland Northern Norway Subarctic Finnmark Nordland Troms |
genre_facet |
Arctic Circumpolar Health Finnmark International Journal of Circumpolar Health Nordland Nordland Northern Norway Subarctic Finnmark Nordland Troms |
op_source |
International Journal of Circumpolar Health, Vol 74, Iss 0, Pp 1-5 (2015) |
op_relation |
http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/24298/pdf_10 https://doaj.org/toc/2242-3982 2242-3982 doi:10.3402/ijch.v74.24298 https://doaj.org/article/755e48e394c94742984a5b58f3c8b4a1 |
op_doi |
https://doi.org/10.3402/ijch.v74.24298 |
container_title |
International Journal of Circumpolar Health |
container_volume |
74 |
container_issue |
1 |
container_start_page |
24298 |
_version_ |
1766339881186885632 |