Document Detail

Is transition between peritoneal dialysis and hemodialysis really a gradual process?
MedLine Citation:
PMID:  23284075     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Transfer to hemodialysis (HD) is a frequent cause of peritoneal dialysis (PD) cessation. In the present study, we set out to describe the transition period between PD and HD.
METHODS: All patients in 4 centers of Basse-Normandie who had been treated with PD for more than 90 days and who were permanently transferred to HD between 1 January 2005 and 31 December 2009 were retrospectively reviewed. The rate of unplanned HD start was evaluated.
RESULTS: In the 60 patients (39 men, 21 women) included in the study, median score on the Charlson comorbidity index at PD initiation was 5 [interquartile range (IQR): 3 - 7], median age at HD initiation was 62 years (IQR: 54 - 76 years), and median duration on PD was 22 months (IQR: 12 - 36 months). Among the 60 patients, 37 had an unplanned HD initiation. Peritonitis was the most frequent cause of unplanned HD start (n = 20), and dialysis inadequacy (n = 11), the main cause of planned HD start. During the transition period, all patients were hospitalized. Median duration of hospitalization was 4.5 days (IQR: 0 - 25.5 days). Within 2 months after HD initiation, 9 patients died. Two months after starting HD, 6 of the remaining 51 patients were being treated in a self-care HD unit and only 23 patients had a mature fistula.
CONCLUSIONS: Unplanned HD start is a common problem in patients transferred from PD. Further studies are needed to improve the rate of planned HD start in PD patients transferred to HD.
Lucie Boissinot; Isabelle Landru; Eric Cardineau; Elie Zagdoun; Jean-Philippe Ryckelycnk; Thierry Lobbedez
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2013-01-02
Journal Detail:
Title:  Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis     Volume:  33     ISSN:  1718-4304     ISO Abbreviation:  Perit Dial Int     Publication Date:    2013 Jul-Aug
Date Detail:
Created Date:  2013-07-11     Completed Date:  2014-03-13     Revised Date:  2014-07-01    
Medline Journal Info:
Nlm Unique ID:  8904033     Medline TA:  Perit Dial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  391-7     Citation Subset:  IM    
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MeSH Terms
Hospitalization / statistics & numerical data
Kidney Failure, Chronic / therapy
Middle Aged
Patient Care Planning*
Peritoneal Dialysis*
Peritoneal Dialysis, Continuous Ambulatory
Peritonitis / etiology
Renal Dialysis*
Retrospective Studies
Treatment Failure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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