Impact of dialysis modality on technique survival in end-stage renal disease patients

The Korean Journal of Internal Medicine
Jong-Hak LeeYong-Lim Kim

Abstract

This study analyzed the risk factors for technique survival in dialysis patients and compared technique survival rates between hemodialysis (HD) and peritoneal dialysis (PD) in a prospective cohort of Korean patients. A total of 1,042 patients undergoing dialysis from September 2008 to June 2011 were analyzed. The dialysis modality was defined as that used 90 days after commencing dialysis. Technique survival was compared between the two dialysis modalities, and the predictive risk factors were evaluated. The dialysis modality was an independent risk factor predictive of technique survival. PD had a higher risk for technique failure than HD (hazard ratio [HR], 10.8; 95% confidence interval [CI], 1.9 to 62.0; p = 0.008) during a median follow-up of 11.0 months. In the PD group, a high body mass index (BMI) was an independent risk factor for technique failure (HR, 1.3; 95% CI, 1.0 to 1.8; p = 0.036). Peritonitis was the most common cause of PD technique failure. The difference in technique survival between PD and HD was more prominent in diabetic patients with a good nutritional status and in non-diabetic patients with a poor nutritional status. In a prospective cohort of Korean patients with end-stage renal disease, PD was assoc...Continue Reading

References

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Citations

Apr 23, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Jong Cheol JeongKi Young Na
Feb 12, 2020·Turkish Journal of Medical Sciences·Nihan Tekkarişmaz, Dilek Torun

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