Clinical Significance of the Edema Index in Incident Peritoneal Dialysis Patients

PloS One
Seok Hui KangJun Young Do

Abstract

Proper monitoring for volume overload is important to improve prognosis in peritoneal dialysis (PD) patients. The association between volume status and residual renal function (RRF) remains an unresolved issue. The aim of the present study was to evaluate the association between the edema index and survival or RRF in incident PD patients. We identified all adults who underwent PD. The edema index was defined as the ratio of extracellular fluid to total body fluid. Participants with available data regarding survivorship or non-survivorship during the first year after PD initiation were included in the area under the receiver operating characteristic curve analysis. The cutoff value of the edema index for 1-year mortality was >0.371 in men and >0.372 in women. Participants were divided into two groups according to the cutoff value of their baseline edema indices: High (>cutoff value) and Low (≤ cutoff value). Survivors during the first year after PD initiation were divided into two groups according to the initial and 1-year edema index: Non-improvement (maintenance of criteria in the initial Low group during the year) and Other (all participants except those in the Non-improvement group). In total, 631 patients were enrolled in t...Continue Reading

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Citations

Sep 18, 2016·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Matthew B RivaraRajnish Mehrotra
Nov 20, 2018·Current Opinion in Nephrology and Hypertension·Jack Kit-Chung Ng, Philip Kam-Tao Li
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Oct 31, 2018·International Journal of Environmental Research and Public Health·Shih-Ting HuangTzu-Chieh Chou
Jan 29, 2019·Nutrition and Cancer·Tomofumi MiuraTatsuya Morita

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Methods Mentioned

BETA
urine collection

Software Mentioned

SPSS

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