The results revealed that an age ≥65 years old at thebeginning of dialysis (RR=11.164, 95%CI: 1.271–98.034), diabetic nephropathy(RR=47.099, 95%CI: 3.443–644.261), hypertensive renal damage (RR=18.024,95%CI: 1.363–238.343), chronic glomerulonephritis (RR=41.953, 95%CI:3.105–566.915), CCI (RR=6.938, 95%CI: 3.339–14.418), hemoglobin (RR=4.307,95%CI: 1.121–16.542), and serum albumin (RR=10.333, 95%CI: 2.009–53.137)were independent risk factors that affected the survival rate of early-startPD patients. This evidence concerns the gene ALB and diabetic kidney disease.