Survival Time of Diabetes Mellitus Patients With Hemodialysis: A Study Using Survival Analysis

Abstract

Diabetes mellitus (DM) is a chronic disease caused by pancreas failure in processing or producing enough insulin in the body. An estimated 20-40% of people with DM will experience complications of kidney failure. DM patients who experience complications of kidney failure should undergo hemodialysis (HD) therapy. This study aims to assess the survival time of DM patients with HD at Rumah Sakit Islam (RSI) Jemursari, Surabaya, Indonesia, in 2016-2019. The study used secondary data in the form of electronic medical records of DM patients with HD who were registered at RSI Jemursari from 2016 to 2019. Survival analysis with the Kaplan Meier and Cox Regression methods is used as data analysis. The data were 126 DM patients with HD. DM patients with the majority of HDs have the following criteria: over than 50-year-old, male, housewives, having previous hypertension and heart disease records, having no previous lung disease records. The average survival time of DM patients with HD is 182 weeks. Subjects with the criteria as follows: male patients, working, having previous hypertension records, having no previous lung and heart disease records, have a higher survival time. Age has a significant effect (P=0.004) on the survival of DM patients with HD. The risk of patients' death increases by 1.07 times as the age increase by one year.