Comparison of peritoneal dialysis practice patterns and outcomes between a Canadian and a Chinese centre

Fang, Wei; Qian, Jiaqi; Lin, Aiwu; Rowaie, Fadel; Ni, Zhaohui; Yao, Qiang; Bargman, Joanne M.; Oreopoulos, Dimitrios G.

doi:10.1093/ndt/gfn372

Cited by 54 publications

(65 citation statements)

References 29 publications

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“…Contrary to our previous report and other reports with long-term observation (17,18), the present study showed that catheter dysfunction was the leading cause of technique failure (followed by peritonitis) in patients starting PD soon after catheter insertion. The incidence of catheter dysfunction requiring transfer to HD was higher in BI ≤7 patients than in BI >14 patients.…”

Section: Discussioncontrasting

confidence: 99%

Impact of Break-In Period on the Short-Term Outcomes of Patients Started on Peritoneal Dialysis

et al. 2014

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♦ Objectives: Peritoneal dialysis (PD) is one of the firstline modalities of renal replacement therapy in patients with end-stage renal disease. Guidelines recommended a break-in period of at least 2 weeks before full PD start. However, the optimal duration of the break-in period is still unclear. In the present study, we investigated the effect of various break-in periods on short-term outcomes in patients on PD.

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Section: Discussioncontrasting

confidence: 99%

Impact of Break-In Period on the Short-Term Outcomes of Patients Started on Peritoneal Dialysis

et al. 2014

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“…8 Our data showed that age, gender, diabetes, and the time of dialysis had no significant associations with the occurrence Implementation of CQI in peritonitis study 1031 of peritonitis, which was consistent with previous studies. 4 However, gastrointestinal tract dysfunction and nonstandard procedures are common causes of peritonitis.…”

Section: Discussionsupporting

confidence: 92%

“…Single centers have reported the incidence of peritonitis up to once every 60 patient months. 8,12 Analysis of peritonitis-associated microbial species showed a high incidence of Gram-positive cocci, which may be associated with nonstandard procedures. Patients were discharged from the hospital unless they and their family members passed the examination on aseptic operations, and the operation was checked again at the re-examination to correct the improper procedures.…”

Section: Discussionmentioning

confidence: 99%

Implementation of a continuous quality improvement program reduces the occurrence of peritonitis in PD

et al. 2014

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Objective: To investigate the causes of peritonitis in patients with peritoneal dialysis (PD) using continuous quality improvement (CQI) to develop effective interventions and reduce the occurrence of peritonitis. Methods: A quality control team consisting of 10 members, including the department head, four nephrologists and four nurses, all specialized in PD care, and the head nurse, was established at the Peritoneal Dialysis Center of the Third Xiangya Hospital of Central South University. All patients with peritonitis occurring between 1 July 2010 and 31 December 2011 (pre-CQI period) were analyzed and compared with data obtained between January 2012 (implementation of CQI) and March 2013 to investigate possible causes of peritonitis and to develop corresponding interventions. Fishbone analysis, including laboratory parameters, was carried out monthly. Results: Gastrointestinal tract dysfunction, nonstandard procedures and malnutrition were found to be the top three risk factors for peritonitis. Gastrointestinal tract dysfunction was the likely cause of peritonitis in 42.8% of the subjects before CQI and 36.0% after CQI (p50.05). Nonstandard procedures were the cause of peritonitis in 33.3% of the subjects before CQI and 24.0% after CQI (p50.05). The overall incidence of peritonitis reduced from once every 40.1 patient months before the CQI to once every 70.8 patient months after CQI (p50.05). The incidence of Grampositive bacteria peritonitis reduced from once every 96.9 patients per month before CQI to once every 209.1 patient months after CQI (p50.05), whereas the incidence of Gram-negative bacteria peritonitis reduced from once every 234.2 patient months before CQI to once every 292.8 patient months after CQI. Conclusion: CQI can effectively reduce the occurrence of PD-related peritonitis.

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“…Specific guidelines for treating peritonitis were updated and published in 2010 (21), as were guidelines for PD 615 PDI NovEMBER 2011 -voL. 31,No. 6 ISPD: REDUCING THE RISKS OF PD-RELATED INFECTIONS catheter insertion and management (22).…”

Section: Special Articlementioning

confidence: 99%

ISPD Position Statement on Reducing the Risks of Peritoneal Dialysis–Related Infections

et al. 2011

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Comparison of peritoneal dialysis practice patterns and outcomes between a Canadian and a Chinese centre

Cited by 54 publications

References 29 publications

Impact of Break-In Period on the Short-Term Outcomes of Patients Started on Peritoneal Dialysis

Impact of Break-In Period on the Short-Term Outcomes of Patients Started on Peritoneal Dialysis

Implementation of a continuous quality improvement program reduces the occurrence of peritonitis in PD

ISPD Position Statement on Reducing the Risks of Peritoneal Dialysis–Related Infections

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