Outcome of hemodialysis patients who had failed peritoneal dialysis

Nephron. Clinical Practice
Cheuk-Chun SzetoPhilip Kam-Tao Li

Abstract

Peritoneal dialysis (PD) and hemodialysis (HD) are often regarded as equivalent choices of renal replacement therapy. However, little is known about the outcome of patients who failed PD and converted to long-term HD. We reviewed 197 patients who received long-term HD after failed PD in a University hospital from 1994 to 2008 (the PD-first group) and 140 patients who received long-term HD as their initial therapy during that period (the primary-HD group). Their survival rates are compared. The two groups are highly comparable in terms of baseline demographic data. The PD-first group required more temporary dialysis catheters than the primary-HD group (3.1 ± 3.4 vs. 1.5 ± 1.8, p < 0.0001). At 5 years, the actuarial survival of the PD-first group was significantly lower than that of the primary-HD group (39.9 vs. 59.7%, p < 0.0001), while technique survival was similar (30.4 vs. 30.1%, p = 0.7). When analysis on actuarial survival was performed for patients who survived the first 12 months on HD, the 5-year survival became similar (65.2 vs. 68.8%, p = 0.5). During the first 12 months on HD, independent predictors of actuarial survival of the PD-first group were duration of PD, Charlson's comorbidity score, type of permanent acces...Continue Reading

Citations

Jan 21, 2016·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Ahmed A Al-JaishiLouise M Moist
Apr 5, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Lin LiPhilip Kam-Tao Li
Mar 9, 2013·Nephrology·Bonnie Ching-Ha KwanCheuk-Chun Szeto
Jun 9, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Terry King-Wing MaCheuk Chun Szeto
Mar 16, 2017·The Journal of Vascular Access·Maurizio GallieniMaurizio Cariati
Feb 6, 2014·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Jernej PajekAnand Vardhan
Jan 4, 2013·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Lucie BoissinotThierry Lobbedez

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