Glycated albumin predicts long-term survival in patients undergoing hemodialysis

Chien Lin Lu, Wen Ya Ma, Yuh Feng Lin, Jia Fwu Shyu, Yuan Hung Wang, Yueh Min Liu, Chia Chao Wu, Kuo Cheng Lu

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)


Background: In patients with advanced renal dysfunction undergoing maintenance hemodialysis, glycated albumin (GA) levels may be more representative of blood glucose levels than hemoglobin A1C levels. The aim of this study was to determine the predictive power of GA levels on long-term survival in hemodialysis patients. Methods: A total of 176 patients with a mean age of 68.2 years were enrolled. The median duration of follow-up was 51.0 months. Receiver-operating characteristic curve analysis was utilized to determine the optimal cutoff value. We examined the cumulative survival rate by Kaplan-Meier estimates and the influence of known survival factors with the multivariate Cox proportional-hazard regression model. Results: In the whole patient group, cumulative survival in the low GA group was better than in the high GA group (p=0.030), with more prominence in those aged <70 years (p=0.029). In subgroup analysis, both diabetic (DM) and non-DM patients with low GA had a better cumulative survival compared with those with high GA. The risk of mortality increased by 3.0% for each 1% increase in serum GA level in all patients undergoing hemodialysis. Conclusions: In addition to serving as a glycemic control marker, GA levels may be useful for evaluating the risk of death in both DM and non-DM patients on hemodialysis.

Original languageEnglish
Pages (from-to)395-402
Number of pages8
JournalInternational Journal of Medical Sciences
Issue number5
Publication statusPublished - May 10 2016


  • Glycated albumin
  • Hemodialysis
  • Mortality

ASJC Scopus subject areas

  • General Medicine


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