Early Start Peritoneal Dialysis: Technique Survival in Long-Term Follow-Up
Carregando...
Citações na Scopus
18
Tipo de produção
article
Data de publicação
2018
Título da Revista
ISSN da Revista
Título do Volume
Editora
KARGER
Citação
KIDNEY & BLOOD PRESSURE RESEARCH, v.43, n.6, p.1699-1705, 2018
Resumo
Background/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, Basel
Palavras-chave
Peritoneal dialysis, Unplanned peritoneal dialysis, Acute peritoneal dialysis
Referências
- Alkatheeri AMA, 2016, PERITON DIALYSIS INT, V36, P171, DOI 10.3747/pdi.2014.00148
- Arramreddy R, 2014, AM J KIDNEY DIS, V63, P390, DOI 10.1053/j.ajkd.2013.09.018
- Blake PG, 2018, CLIN J AM SOC NEPHRO, V13, P1278, DOI 10.2215/CJN.02820318
- Boudville N, 2012, J AM SOC NEPHROL, V23, P1398, DOI 10.1681/ASN.2011121135
- Coentrao L, 2012, BMC NEPHROL, P13
- Dias DB, 2017, BLOOD PURIFICAT, V44, P283, DOI 10.1159/000478970
- Ghaffari A, 2012, AM J KIDNEY DIS, V59, P400, DOI 10.1053/j.ajkd.2011.08.034
- Javaid MM, 2017, PERITON DIALYSIS INT, V37, P500, DOI 10.3747/pdi.2016.00308
- Javaid Muhammad Masoom, 2019, J Nephrol, V32, P51, DOI 10.1007/s40620-018-0485-3
- Jo YI, 2007, PERITON DIALYSIS INT, V27, P179
- Koch M, 2012, NEPHROL DIAL TRANSPL, V27, P375, DOI 10.1093/ndt/gfr262
- Lobbedez T, 2008, NEPHROL DIAL TRANSPL, V23, P3290, DOI 10.1093/ndt/gfn213
- Mcdonald SP, 2003, J AM SOC NEPHROL, V14, P2894, DOI 10.1097/01.ASN.0000091587.55159.5F
- Perl J, 2011, J AM SOC NEPHROL, V22, P1113, DOI 10.1681/ASN.2010111155
- Povlsen JV, 2006, NEPHROL DIAL TRANSPL, V21, DOI 10.1093/ndt/gfl192
- Saran R, 2015, AM J KIDNEY DIS, V66, pS1, DOI 10.1053/j.ajkd.2015.05.001
- See EJ, 2018, AM J KIDNEY DIS, V72, P188, DOI 10.1053/j.ajkd.2017.10.019
- Xu DM, 2017, AM J KIDNEY DIS, V70, P102, DOI 10.1053/j.ajkd.2016.12.021
- Yang YF, 2011, PERITON DIALYSIS INT, V31, P551, DOI 10.3747/pdi.2009.00171