Early Start Peritoneal Dialysis: Technique Survival in Long-Term Follow-Up

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSILVA, Bruno C.
dc.contributor.authorADELINA, Erica
dc.contributor.authorPEREIRA, Benedito J.
dc.contributor.authorCORDEIRO, Lilian
dc.contributor.authorRODRIGUES, Camila E.
dc.contributor.authorDUARTE, Ricardo J.
dc.contributor.authorABENSUR, Hugo
dc.contributor.authorELIAS, Rosilene M.
dc.date.accessioned2019-02-21T17:29:03Z
dc.date.available2019-02-21T17:29:03Z
dc.date.issued2018
dc.description.abstractBackground/Aims: Peritoneal dialysis (PD) has gained interest over the last decade as a viable option for early start dialysis. It is still unknown if shorter break-in periods and less time for proper patient evaluation and training could influence technique survival in comparison to planned-start PD. Methods: A prospective and observational study that compared technique survival in a cohort of patients who started either early or planned PD. Early start PD was defined as break-in period from 3 to 14 days with no previous nephrologist follow-up or patient training. Results: A total of 154 patients were included (40 as early start PD), followed by a median time of 381 days. Comparing early vs. planned-start PD, groups were similar concerning age 56 (40; 70) vs. 48 (32; 63) years, p=0.071, body mass index (BMI) 23.3 +/- 4.2 vs. 23.8 +/- 4.0 kg/m(2), p=0.567 and male gender (60 vs. 48%, p=0.201), respectively. Comparing early vs. planned-start groups, there were no differences regarding PD dropout for peritonitis (7.5 vs. 11.4%, p=0.764), catheter dysfunction (12.5 vs. 17.5%, p=0.619) and patient burnout (0 vs. 4.4%, p=0.328), respectively. Less patients in early start group quit PD for peritoneal membrane failure in comparison to planned-start group (2.5 vs. 16.7%, p=0.026). In multivariate cox-regression analysis, the only factors independently associated with technique failure were BMI > 25 kg/m(2) (p=0.033) and Diabetes Mellitus (p=0.013), whereas no differences regarding early vs. planned-PD start were observed (p=0.184). Conclusion: Despite the adverse scenario for initiating dialysis, early start PD had similar outcomes in comparison to planned-start PD in long-term follow-up. (C) 2018 The Author(s) Published by S. Karger AG, Baseleng
dc.description.indexMEDLINEeng
dc.identifier.citationKIDNEY & BLOOD PRESSURE RESEARCH, v.43, n.6, p.1699-1705, 2018
dc.identifier.doi10.1159/000495386
dc.identifier.eissn1423-0143
dc.identifier.issn1420-4096
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/30966
dc.language.isoeng
dc.publisherKARGEReng
dc.relation.ispartofKidney & Blood Pressure Research
dc.rightsopenAccesseng
dc.rights.holderCopyright KARGEReng
dc.subjectPeritoneal dialysiseng
dc.subjectUnplanned peritoneal dialysiseng
dc.subjectAcute peritoneal dialysiseng
dc.subject.otherinitiationeng
dc.subject.otheraustraliaeng
dc.subject.wosPhysiologyeng
dc.subject.wosUrology & Nephrologyeng
dc.subject.wosPeripheral Vascular Diseaseeng
dc.titleEarly Start Peritoneal Dialysis: Technique Survival in Long-Term Follow-Upeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus18
hcfmusp.contributor.author-fmusphcBRUNO CALDIN DA SILVA
hcfmusp.contributor.author-fmusphcERICA ADELINA GUIMARAES SILVA
hcfmusp.contributor.author-fmusphcBENEDITO JORGE PEREIRA
hcfmusp.contributor.author-fmusphcLILIAN CORDEIRO
hcfmusp.contributor.author-fmusphcCAMILA ELEUTERIO RODRIGUES
hcfmusp.contributor.author-fmusphcRICARDO JORDAO DUARTE
hcfmusp.contributor.author-fmusphcHUGO ABENSUR
hcfmusp.contributor.author-fmusphcROSILENE MOTTA ELIAS
hcfmusp.description.beginpage1699
hcfmusp.description.endpage1705
hcfmusp.description.issue6
hcfmusp.description.volume43
hcfmusp.origemWOS
hcfmusp.origem.pubmed30472710
hcfmusp.origem.scopus2-s2.0-85057592485
hcfmusp.origem.wosWOS:000455066300001
hcfmusp.publisher.cityBASELeng
hcfmusp.publisher.countrySWITZERLANDeng
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hcfmusp.scopus.lastupdate2024-05-10
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