PMID: 15384805Sep 24, 2004Paper

Self-performed peritoneal dialysis in prisoners

Advances in Peritoneal Dialysis
Niranjan SankaranarayananNancy D Adams

Abstract

Peritoneal dialysis (PD)for renal replacement therapy (RRT) is safe and effective in patients with end-stage renal disease (ESRD). Currently, no data exist for the same in patients at correctional institutions [Department of Corrections (DOC)]. We compared demographic characteristics of, and the efficacy and outcome of self-administered continuous ambulatory peritoneal dialysis (CAPD) in, DOC patients with data from the U.S. Renal Data System for the free-living population (FLP). We retrospectively reviewed the charts of DOC patients opting for CAPD (n = 10) in the last 7 years. Baseline data (age, race, cause of ESRD, serum chemistries, anemia, bone profiles, and Kt/V) were obtained for dialysis start and 6 - 12 months after dialysis start. Major events, including switches to hemodialysis (HD), hospitalizations, and deaths, were also studied. The median age of the DOC patients was 45 years. The group was 40% black, 30% white, and 30% Hispanic. Cause of renal failure was diabetes in 30%, HIV-associated nephropathy in 30%, primary glomerular disease in 20%, and hypertension or unknown in 20% of patients. The DOC patients had higher levels of blood urea nitrogen (BUN) at presentation, but better anemia profiles than did the FLP. ...Continue Reading

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