Document Detail


Old and new perspectives on peritoneal dialysis in Italy emerging from the Peritoneal Dialysis Study Group Census.
MedLine Citation:
PMID:  22383633     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To understand how peritoneal dialysis (PD) was being used in Italy in 2005 and 2008, a census of all centers was carried out.
METHODS: In 2005 and 2008, data were collected from, respectively, 222 and 223 centers, with respect to 4432 and 4094 prevalent patients.
RESULTS: In the two periods, the PD incidence remained stable (24.3% vs 22.9%), varying from center to center. Continuous ambulatory PD (CAPD) was the main initial method (55%), but APD was more widespread among prevalent patients (53%). Among patients returning to dialysis from transplantation (Tx), PD was used in 10%. The use of incremental CAPD increased significantly from 2005 to 2008, in terms both of the number of centers (27.0% vs 40.9%) and of patients (13.6% vs 25.7%). Late referrals remained stable at 28%, with less use of PD. The overall drop-out rate (episodes/100 patient-years) remained unchanged (31.0 vs 32.8), with 13.1 and 12.9 being the result of death, and 11.8 and 12.4 being the result of a switch to hemodialysis, mainly after peritonitis. A dialysis partner was required by 21.8% of the PD patients. The incidence of peritonitis was 1 episode in 36.5 and 41.1 patient-months, with negative cultures occurring in 17.1% of cases in both periods. The incidence of encapsulating peritoneal sclerosis (episodes/100 patient-years) was 0.70, representing 1.26% of patients treated. The catheter types used and the sites and methods of insertion varied widely from center to center.
CONCLUSIONS: These censuses confirm the good results of PD in Italy, and provide insight into little-known aspects such as the use of incremental PD, the presence of a dialysis partner, and the incidence of encapsulating peritoneal sclerosis.
Authors:
Giancarlo Marinangeli; Gianfranca Cabiddu; Loris Neri; Giusto Viglino; Roberto Russo; Ugo Teatini;
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Publication Detail:
Type:  Journal Article     Date:  2012-03-01
Journal Detail:
Title:  Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis     Volume:  32     ISSN:  1718-4304     ISO Abbreviation:  Perit Dial Int     Publication Date:    2012 Sep-Oct
Date Detail:
Created Date:  2012-09-19     Completed Date:  2013-03-14     Revised Date:  2013-09-03    
Medline Journal Info:
Nlm Unique ID:  8904033     Medline TA:  Perit Dial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  558-65     Citation Subset:  IM    
Affiliation:
UOC di Nefrologia e Dialisi, Ospedale Maria SS dello Splendore, Giulianova, Italy.
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MeSH Terms
Descriptor/Qualifier:
Censuses
Humans
Incidence
Italy
Peritoneal Dialysis / adverse effects,  methods,  utilization*
Peritoneal Dialysis, Continuous Ambulatory / adverse effects,  methods,  utilization*
Peritoneal Fibrosis / drug therapy,  epidemiology*,  surgery
Peritonitis / epidemiology*
Questionnaires
Survival Rate
Investigator
Investigator/Affiliation:
E Alberghini / ; G Amici / ; F Amoroso / ; P Ancarani / ; C Ariaudo / ; S Aterini / ; V Autuly / ; S Ballocchi / ; M Barattini / ; M T Barone / ; V Barone / ; V Bellizzi / ; R Bergia / ; G Berlingo' / ; F Bermond / ; M Bertoli / ; L Bertoncini / ; V Bertuzzi / ; M Biagioli / ; R Boccadoro / ; F Boier / ; M Bonaduce / ; C Bonesso / ; F Bonello / ; L Bonfante / ; A M Bongi / ; F Bonvegna / ; M A Boschetti / ; M Bosco / ; P Botti / ; S Brandi / ; M Brigante / ; F Bruni / ; F Budetta / ; M C Cadoni / ; G Campus / ; F Cappelletti / ; F Caputo / ; S Caria / ; A Carlini / ; A M Caselli / ; G M Caselli / ; T Casuscelli Di Tocco / ; B Catania / ; G Cataldi / ; G Cavaliere / ; P Cervini / ; G Cesano / ; C Cherubini / ; D Chimienti / ; F Ciabattini / ; M Ciabattoni / ; A Cioni / ; D Ciurlino / ; P Colombo / ; F Conte / ; M Conte / ; B Corradi / ; S Costa / ; G Cuzzocrea / ; G D'Adamo / ; G D'Aloya / ; A Dal Col / ; F P Damiani / ; P David / ; C Del Corso / ; R F Dell'Aquila / ; C Della Gatta / ; E D De Lucia / ; A De Martino / ; F De Padova / ; O De Prisco / ; N Del Negro / ; P Delli Carri / ; N Di Piazza / ; A Di Somma / ; C Distratis / ; L Donello / ; G Enia / ; R Estivi / ; G M Fabozzi / ; E Falvo / ; V Fanelli / ; V Farina / ; F Fasciolo / ; P Fatuzzo / ; L Fattori / ; M Feriani / ; C Ferrando / ; F Ferazzoli / ; A Ferretti / ; C Figliola / ; V Finato / ; C Fregonese / ; R Gaggi / ; E Galli / ; S Galli / ; M A Gallieni / ; D Garofalo / ; V Gattullo / ; A Gazo / ; P Ghiringhelli / ; V Giancaspro / ; B Gianoglio / ; P Gianoli / ; E Giovannetti / ; A Giudicissi / ; F Grandinetti / ; L Guarda / ; G M Iadarola / ; V La Milia / ; R La Rosa / ; R Lanzetta / ; A Laudon / ; D G Licciardello / ; G Lindner / ; E Lisi / ; C Lubatti / ; L Lucchi / ; M Maccarone / ; C Maffei / ; C Magarini / ; F Malacarne / ; S Mangano / ; R Marcon / ; A Marini / ; F K Martino / ; L Massanti / ; M Matalone / ; M M Mauro / ; T Mauro / ; A Mazzotta / ; B Memoli / ; A Mencherini / ; G Mennella / ; G Merico / ; A Micheli / ; M Minari / ; N Miranda / ; A Mollica / ; G Montagna / ; S Mostacci / ; D Mulas / ; R Nacca / ; S Oliva / ; E Orazi / ; A Paglialunga / ; D Palmarini / ; A Pappani / ; G M Passaghe / ; G Paternoster / ; G Perez / ; M Piva / ; M T Porri / ; P Presta / ; G Priasca / ; F Puricelli / ; G Quattrocchi / ; C Raimondi / ; S Randone / ; D Ricciardi / ; A M Ricciatti / ; A Rizzuto / ; A R Rocca / ; V Rondanini / ; M Rosa / ; D Rossi / ; A Rucci / ; C Rugiu / ; F Russo / ; F S Russo / ; G E Russo / ; S Saffioti / ; F Sama' / ; S Santarelli / ; A Santoboni / ; A Saraniti / ; A Scalamogna / ; B I Scalzo / ; R Scanziani / ; O Schillaci / ; D Schinella / ; V Sepe / ; S Sisca / ; P Sorino / ; E Sozzo / ; E Staffolani / ; R Stanziale / ; A Stefoni / ; D Stellato / ; A Stingone / ; P Strippoli / ; A Sturniolo / ; M Tancredi / ; C Tessarin / ; G Tiraboschi / ; A Tirotta / ; I Todaro / ; A Tommasi / ; R Torpia / ; A Torre / ; G Torti / ; L Toscani / ; G B Traverso / ; C Turri / ; N Ungaro / ; R Vecchi / ; S Venanzi / ; G Vezzoli / ; S Vianello / ; S Vinciguerra / ; G Virga / ; M Viscione / ; L A Vitelleschi / ; V Vizzardi / ; L Zambianchi / ; M B Zani / ; A Zuccalà /
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