Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/13/2025

Mortality in the First Year of Hemodialysis in Elderly Patients

Introduction to Mortality Rates

  • The mortality rate for elderly patients with 70 years in the first year of hemodialysis is approximately 20%, ranging from 17-20% depending on the region and individual risk factors, according to the American Journal of Kidney Diseases 1
  • The American Journal of Kidney Diseases and other sources suggest that the mortality rate in the first year of hemodialysis remains unacceptably high, with historical rates around 20% per year in the United States 1
  • More recent studies show some improvement, with annual mortality rates of approximately 17%, as reported by the American Journal of Kidney Diseases and Praxis Medical Insights 2

Vascular Access and Survival

  • For patients using arteriovenous fistula as vascular access, the 1-year survival rate is 84.0%, compared to 78.2% for prostheses and 69.6% for catheters, as reported by the Journal of the American College of Radiology 3

REFERENCES

1

meeting the challenges of the new k/doqi guidelines. [LINK]

American Journal of Kidney Diseases, 2003

2

Annual Mortality Rate for Hemodialysis Patients [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

3

acr appropriateness criteria® dialysis fistula malfunction. [LINK]

Journal of the American College of Radiology, 2023