Journals / Turkish Journal of Medical Sciences / 2020 / Cilt: 50 - Sayı: 2

Long-term clinical outcomes of peritoneal dialysis patients: 9-year experience of a single centre in Turkey

Pages
386–397
Publication Date
2022-11-04
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Although peritonitis is the mostfeared complication of PD, our study showed that peritonitis did not reduce patient survival.

📌 3 Key Takeaways

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Objective & Hypothesis:Background/aim: The aim of this study was to evaluate the clinical outcomes and identify the predictors of mortality in peritonealdialysis patients.Materials and methods: Medical records of all incident peritoneal dialysis (PD) patients followed up between January 2011 and May2019 were reviewed retrospectively.
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Key Findings & Data:All patients were followed up until death, renal transplantation, transfer to haemodialysis or theend of the study.Results: A total of 242 patients were included in the study.
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Conclusion & Impact:Although peritonitis is the mostfeared complication of PD, our study showed that peritonitis did not reduce patient survival.
🔬Design:Review & Systematic Survey
📍Scope:2011 Verileri
⚙️Variables:Domain Parameters

Abstract

Background/aim: The aim of this study was to evaluate the clinical outcomes and identify the predictors of mortality in peritonealdialysis patients.Materials and methods: Medical records of all incident peritoneal dialysis (PD) patients followed up between January 2011 and May2019 were reviewed retrospectively. All patients were followed up until death, renal transplantation, transfer to haemodialysis or theend of the study.Results: A total of 242 patients were included in the study. The incidence of peritonitis was 0.18 (ranging from 0 to 14.9) episodes perpatient year. Death occurred in 28% (n: 68) of cases. Age, diabetes mellitus, malignancy and refractory heart failure were independentrisk factors for all-cause mortality according to multivariate analysis. The presence of comorbid disease and diabetes mellitus and patientsaged > 65 years were associated with increased risk of mortality and decreased patient survival. Peritonitis history was associated withincreased risk of mortality. Between peritonitis and peritonitis-free group, there was no significant difference in Kaplan-Meier curvesin terms of patient survival.Conclusion: This is the first study to define 9-year mortality predictors in PD patients in our centre. Although peritonitis is the mostfeared complication of PD, our study showed that peritonitis did not reduce patient survival.

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Cite This Article

TEKKARIŞMAZ, N., TORUN, D. (2022). Long-term clinical outcomes of peritoneal dialysis patients: 9-year experience of a single centre in Turkey. Turkish Journal of Medical Sciences, Cilt: 50 - Sayı: 2, 386–397. https://ajindex.com/articles/610119

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References (12)

  1. Liu FX, Gao X, Inglese G, Chuengsaman P, Pecoits-Filho R et al. A global overview of the impact of peritoneal dialysis first or favored policies: an Opinion. Peritoneal Dialysis International 2015
  2. 35 (4): 406-420. doi: 10.3747/pdi.2013.00204 2. Grassmann A, Gioberge S, Moeller S, Brown G. ESRD patients in 2004: global overview of patient numbers, treatment modalities and associated trends. Nephrology Dialysis Transplantation 2005
  3. 20 (12): 2587-2593. 3. Daly CD, Campbell MK, MacLeod AM, Cody DJ, Vale LD et al. Do the Y-set and double-bag systems reduce the incidence of CAPD peritonitis? A systematic review of randomized controlled trials. Nephrology Dialysis Transplantation 2001
  4. 16 (2): 341-347. 4. Flayou K, Ouzeddoun N, Bayahia R, Rhou H, Benamar L. Mechanical complications of continuous ambulatory peritoneal dialysis: experience at the Ibn Sina University Hospital. Saudi Journal of Kidney Diseases and Transplantation 2016
  5. 27 (1): 107-110. 5. Lee JH, Park SH, Lim JH, Park YJ, Kim SU et al. Impact of dialysis modality on technique survival in end-stage renal disease patients. Korean Journal of Internal Medicine 2016
  6. 31 (1): 106-115. 6. Mizuno M, Ito Y, Suzuki Y, Sakata F, Saka Y et al. Recent analysis of status and outcomes of peritoneal dialysis in the Tokai area of Japan: the second report of the Tokai peritoneal dialysis registry. Clinical and Experimental Nephrology 2016
  7. 20 (6): 960-971. 7. Peng Y, Yang X, Chen W, Yu XQ. Association between timing of peritoneal dialysis initiation and mortality in end-stage renal disease. Chronic Diseases and Translational Medicine 2018
  8. 5 (1): 37-43. 8. Lasfar LB, Guedri Y, Zellama D, El Meknassi I, Azzebi A et al. Long-term clinical outcomes of peritoneal dialysis patients: 10-year experience of a single unit from Tunisia. Saudi Journal Kidney Disease Transplantation 2019
  9. 30 (2): 451-461. 9. Vikrant S. Long-term clinical outcomes of peritoneal dialysis patients: 9-year experience of a single center from north India. Peritoneal Dialysis International 2014
  10. 34 (4): 426-433. 10. Jaar BG, Plantinga LC, Crews DC, Fink NE, Hebah N et al. Timing, causes, predictors and prognosis of switching from peritoneal dialysis to hemodialysis: a prospective study. BMC Nephrology 2009
  11. Gray NA, Grace BS, McDonald SP. Peritoneal dialysis in rural Australia. BMC Nephrology 2013
  12. doi: 10.1186/1471- 2369-14-278 12. Süleymanlar G, Ateş K, Seyahi N. Registry of the Nephrology, Dialysis and Transplantation in Turkey,