Document Detail

Comparison of home hemodialysis to continuous ambulatory peritoneal dialysis.
MedLine Citation:
PMID:  6834694     Owner:  NLM     Status:  MEDLINE    
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.
J Rubin; T Barnes; P Burns; R Ray; N Teal; E Hellems; J Bower
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Kidney international     Volume:  23     ISSN:  0085-2538     ISO Abbreviation:  Kidney Int.     Publication Date:  1983 Jan 
Date Detail:
Created Date:  1983-05-27     Completed Date:  1983-05-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0323470     Medline TA:  Kidney Int     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  51-6     Citation Subset:  IM    
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MeSH Terms
Blood Pressure
Cardiovascular Diseases / complications
Hemodialysis, Home* / adverse effects
Kidney Failure, Chronic / therapy
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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