| Comparison of home hemodialysis to continuous ambulatory peritoneal dialysis. | |
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MedLine Citation:
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PMID: 6834694 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We evaluated prospectively various outcome measurements of patients assigned initially to continuous ambulatory peritoneal dialysis (CAPD) and home hemodialysis (HHD) from February 1979 to August 1981 and the causes for failures of the techniques. Morbidity was assessed by time in hospital/time on dialysis. Fifty-six patients were trained for CAPD and 37 for HHD. Those assigned to CAPD experienced an increased frequency of hospitalization (7.5% CAPD, 2.8% HHD, respectively) primarily due to episodes of peritonitis. There was also a higher modality failure rate (43% vs. 16%). However, the groups were not comparable in all respects. For example, the CAPD population included 21 patients with major cardiovascular diseases versus only three in the HHD group. The demographic characteristics of both populations including race, sex, age, income, place of residence, marital status, and education were similar. At the time of this study there is no direct evidence showing that healthy patients otherwise able to perform HHD may be maintained with less morbidity for a prolonged period utilizing CAPD. Therefore, we suggest that HHD is the home method of choice for patients able to proceed with this technique. CAPD may be indicated for patients in whom the period of home dialysis is expected to be relatively short and who would be otherwise unable to carry out home dialysis, for example, patients awaiting transplantation and those unable to be maintained on hemodialysis because of impaired cardiac function. To fully evaluate CAPD as a long-term maintenance therapy, a prospective trial must be performed. |
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Authors:
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J Rubin; T Barnes; P Burns; R Ray; N Teal; E Hellems; J Bower |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Kidney international Volume: 23 ISSN: 0085-2538 ISO Abbreviation: Kidney Int. Publication Date: 1983 Jan |
Date Detail:
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Created Date: 1983-05-27 Completed Date: 1983-05-27 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0323470 Medline TA: Kidney Int Country: GERMANY, WEST |
Other Details:
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Languages: eng Pagination: 51-6 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blood Pressure Cardiovascular Diseases / complications Female Hemodialysis, Home* / adverse effects Hospitalization Humans Kidney Failure, Chronic / therapy Male Middle Aged Peritoneal Dialysis* / adverse effects, mortality Peritoneal Dialysis, Continuous Ambulatory* / adverse effects, mortality Peritonitis / etiology Prospective Studies Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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