Comparison of patient survival and technique survival between continuous ambulatory peritoneal dialysis and automated peritoneal dialysis

Wang, I‐Kuan; Yu, Tung‐Min; Yen, Tzung‐Hai; Lin, Shih‐Yi; Chang, Chia‐Ling; Lai, Ping-Chin; Li, Chi Yuan; Sung, Fung‐Chang

doi:10.1177/0896860820942987

Cited by 13 publications

(23 citation statements)

References 29 publications

(51 reference statements)

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“…These findings might reflect greater cumulative PD experience, PD specialization or availability of a variety of clinical competence and experience (nurses, social workers, dietitians, surgeons and physicians). Other factors, such as adequate nutritional status 72 , use of automated PD 73 and use of assisted PD 74 , have been associated with improved PD technique survival; this association was especially significant in paediatric age groups.…”

Section: Clinical Pd Outcomes Across the Globementioning

confidence: 99%

Epidemiology of peritoneal dialysis outcomes

et al. 2022

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Peritoneal dialysis (PD) is an important home-based treatment for kidney failure and accounts for 11% of all dialysis and 9% of all kidney replacement therapy globally. Although PD is available in 81% of countries, this provision ranges from 96% in high-income countries to 32% in low-income countries. Compared with haemodialysis, PD has numerous potential advantages, including a simpler technique, greater feasibility of use in remote communities, generally lower cost, lesser need for trained staff, fewer management challenges during natural disasters, possibly better survival in the first few years, greater ability to travel, fewer dietary restrictions, better preservation of residual kidney function, greater treatment satisfaction, better quality of life, better outcomes following subsequent kidney transplantation, delayed need for vascular access (especially in small children), reduced need for erythropoiesis-stimulating agents, and lower risk of blood-borne virus infections and of SARS-CoV-2 infection. PD outcomes have been improving over time but with great variability, driven by individual and system-level inequities and by centre effects; this variation is exacerbated by a lack of standardized outcome definitions. Potential strategies for outcome improvement include enhanced standardization, monitoring and reporting of PD outcomes, and the implementation of continuous quality improvement programmes and of PD-specific interventions, such as incremental PD, the use of biocompatible PD solutions and remote PD monitoring.

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Section: Clinical Pd Outcomes Across the Globementioning

confidence: 99%

Epidemiology of peritoneal dialysis outcomes

et al. 2022

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“…Dahlerus et al (2016) indicated that when patients with advanced kidney disease choose between PD and haemodialysis, the main considerations were keeping as much independence as possible, quality and quantity of life, and flexibility in daily schedule. Comparing to haemodialysis, PD provides greater convenience, higher quality of life, better physical health, better survival rate, milder dialysisrelated symptoms and lower risk of peritonitis (Tang et al, 2016;Wang et al, 2020;Yang et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Developing a theory to help guide End‐Stage Renal Disease Patients to adapt to Peritoneal Dialysis: A grounded theory study

Chen

Yao

Tseng

et al. 2021

Journal of Clinical Nursing

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Aim and objectives:The aim of this study was to develop a theory to help guide patients with end-stage renal disease to adapt to peritoneal dialysis.Background: Taiwan ranks first worldwide in end-stage renal disease incidence and dialysis prevalence. Many patients cannot accept long-term dialysis treatment and thus face several physical and psychological suffering. No theory has yet been developed to help guide patients with end-stage renal disease to adapt to peritoneal dialysis.Design: A grounded theory approach was used in this study. Methods:A theoretical sampling was performed after interviewing 25 patients who had adapted to peritoneal dialysis at a medical centre in Taiwan from January 2018 to September 2018; data saturation was achieved. Data were analysed using open, axial and selective coding and while using the constant comparison technique. COREQ reporting guidelines were utilised.Results: A substantive theory was developed to help guide patients with end-stage renal disease to adapt to peritoneal dialysis. The core category that emerged from the data collected was 'Confronting peritoneal dialysis to live and co-exist with peritoneal dialysis'. Other key categories linked to and embraced in this core category were as follows: positive self-regulation, regulation of daily life and the process of adaptation to dialysis method. Conclusion:The results could help healthcare professionals to better understand the process of end-stage renal disease patients' adaptation to peritoneal dialysis, thereby facilitating patients' adaptation to dialysis in their daily life, enhancing their quality of life and improving the quality of medical care.Relevance to clinical practice: Healthcare professionals could use this theory as reference when providing care for peritoneal dialysis patients to assist them in adapting to life with peritoneal dialysis as soon as possible through positive self-regulation, daily life adjustments and the process of adapting to the dialysis method.

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“…An earlier study from our center revealed that icodextrin use was associated with lower risks of both technique and death [ 16 ]. A recent study also from our center demonstrated that APD is associated a lower risk of technique failure than CAPD [ 17 ]. Thus, the use of icodextrin or APD was considered as a covariate in data analysis.…”

Section: Methodsmentioning

confidence: 99%

The impact of multidisciplinary pre-dialysis care on the outcomes of incident peritoneal dialysis patients

Wang

Yen

et al. 2022

BMC Nephrol

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Background This study aims to evaluate the impact of multidisciplinary pre-dialysis care (MDPC) on the risks of peritonitis, technique failure and mortality in peritoneal dialysis (PD) patients. Methods Incident end-stage kidney disease patients who received peritoneal dialysis (PD) for more than 90 days were recruited in this study from 1 January 1, 2007 to December 31, 2018. Patients were classified into two groups, the MDPC group and the control group, that received the usual care by nephrologists. Risks of the first episode of peritonitis, technique failure and mortality were compared between the two groups. Results There were 126 patients under the usual care and 546 patients under the MDPC. Patients in the MDPC group initiated dialysis earlier than those in the non-MDPC group. There was no significant difference between these two groups in time to the first episode of peritonitis. Compared to the non-MDPC group, the MDPC group was at similar risks of technique failure (adjusted HR = 0.85, 95% CI = 0.64–1.15) and mortality (adjusted HR = 0.66, 95% CI = 0.42–1.02). Among patients with diabetes, the risk of mortality was significantly reduced in the MDPC group with an adjusted HR of 0.45 (95% CI = 0.25–0.80). Conclusions There was no significant difference in time to develop the first episode of peritonitis, and risks of technique failure and mortality between these two groups. Diabetic PD patients under MDPC had a lower risk of mortality than those under the usual care.

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Comparison of patient survival and technique survival between continuous ambulatory peritoneal dialysis and automated peritoneal dialysis

Cited by 13 publications

References 29 publications

Epidemiology of peritoneal dialysis outcomes

Epidemiology of peritoneal dialysis outcomes

Developing a theory to help guide End‐Stage Renal Disease Patients to adapt to Peritoneal Dialysis: A grounded theory study

The impact of multidisciplinary pre-dialysis care on the outcomes of incident peritoneal dialysis patients

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