... and W52. Whereas the patient survival was significantly lower in the lower predialysis systolic BP tertile at W1 like in previous reports calling this phenomenon ‘reverse epidemiology’, no relationship between predialysis BP levels and outcomes was found at W12, W26 and W52. The patients in the tertile...

... of those derived from the general population. This phenomenon, termed ‘reverse epidemiology’, is not limited to MHD patients but is also observed in populations that encompass an estimated 20 million Americans including those with an advanced age, heart failure, malignancies, and AIDS. A significant...

... advanced to explain this ‘reverse epidemiology’. First, obesity may buffer patients from wasting. Second, fat may sequester uraemic toxins leading to a systematic error in the prescription of dialysis. Our aim was to use data on the scaling of daily energy expenditure, fat and lean tissue mass to predict...

... control, i.e., lower ERI. A lower uremic load, relative and absolute, in larger individuals may contribute to this observation. References 1 Kalantar-Zadeh K, Block G, Humphreys MH, Kopple JD: Reverse epidemiology of cardiovascular risk factors in maintenance dialysis patients. Kidney Int 2003;63:793 808...