Analysis of the Factors Affecting the Reasons of Transition From Peritoneal Dialysis to Hemodialysis

Özet

Background: Peritoneal dialysis is a frequently used renal replacement treatment option in patients with end-stage renalfailure, and it is emphasized several times that it should be started as the first treatment in the literature. However, for manydifferent reasons, sometimes the treatment is stopped and switched to hemodialysis. In this study, we aimed to examinethe reasons and factors affecting the transition to hemodialysis in our unit.Methods: Fifty-five patients who were – transferred to hemodialysis – regularly attending the Peritoneal Dialysis Unit ofErciyes University Nephrology Department were included in our study. Biochemical analysis, peritoneal equalization test(PET), dialysis adequacy (kt/V), and creatinine clearance of these patients were recorded regularly. Regular cardiac examinations and ambulatory blood pressure measurements were also performed. The reasons for the transition from peritoneal dialysis to hemodialysis were also noted in detail.Results: The mean age of the patients was 54.02 ± 11.41 years, and 27 (62.8%) of the patients were male. While the shortestperiod spent on peritoneal dialysis was 13 months, the longest was 191 months. The most common type of permeabilityin PET analysis of the patients was observed as high-average. The most common reason for the transition to hemodialysiswas inadequate dialysis. Using univariate and multiple regression models, factors that predict the duration of stay in peritoneal dialysis were examined. We found that the urine volume, total kt/V, and the number of peritonitis could be effectivein predicting this period.Conclusion: Peritoneal dialysis is a renal replacement option that has advantages such as patient comfort, preservation ofthe kidney’s remaining work, and social life. The reasons for the transition should be examined in detail, and the necessaryinterventions to prolong the time in peritoneal dialysis should be evaluated.