Grand Challenge: Understanding Survival Paradoxes in Epidemiology

摘要

Despite racial disparities among blacks in socioeconomic position, education, lifestyle factors, comorbid conditions, access to medical care, and utilization of health services, a reverse survival advantage is seen in hemodialysis patients. For example, conventional cardiovascular risk factors such as black race, hypercholesterolemia, hypertension, and obesity are associated with increased survival among hemodialysis patients (1).