How Long Can A Kidney Failure Patient Last Without Dialysis?
… I am a 35 year old woman with type 1 diabetes and have been using insulin for 13 years. 3 months ago I was sentenced to end stage kidney failure and was advised dialysis. My question …. What will happen to me without dialysis? How long can I last? Because I don’t want to do dialysis. Previously, thank you for the doctor’s answer
Hello, Ms. Shinta Shandy Nova. Thank you for the question submitted to HealthReplies.com.
There is no definitive answer to the question of how long a patient diagnosed with end-stage renal failure can survive without dialysis (hemodialysis). Life expectancy of patients with this disease varies between cases. The prognosis depends on how much kidney function is left, how severe the symptoms are, and how the patient's overall health is.
A number of studies have been conducted to compare survival between end-stage renal failure patients who undergo hemodialysis and those who do not. A study observing 12 years of 144 patients aged 80 years or older with end-stage renal failure showed that median life expectancy in patients undergoing hemodialysis was 20 months longer than those who did not undergo hemodialysis (28.9 months vs 8.9 month since diagnosis is made). Meanwhile, another study conducted on 129 patients aged 75 years with end-stage renal failure showed results that the survival rate in 1-year patients who hemodialysis was 84%, while patients who did not hemodialysis 68%. The survival rate in 2-year patients who are hemodialysis is 76%, while patients who are not hemodialysis is 47%. In general, existing research shows that hemodialysis patients tend to have a longer life expectancy. However, this conclusion cannot be immediately applied to all patients because there may be differences in the characteristics of the population under study.
We recommend that patients consult a specialist in internal medicine regarding therapeutic planning for kidney failure. To enrich insight, you can read articles about things to consider if you don't choose dialysis therapy.
Such is our explanation. Hopefully always healthy. May be useful.