Is Transition between Peritoneal Dialysis and Hemodialysis Really a Gradual Process?

Boissinot, L; Landru, Isabelle; Cardineau, Eric; Zagdoun, E.; Ryckelycnk, Jean-Philippe; Lobbedez, Thierry

doi:10.3747/pdi.2011.00134

Cited by 40 publications

(37 citation statements)

References 26 publications

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“…Online transmission of the previous night PD treatment, alarms, UF rates, body weight, and blood pressure should furthermore allow detection and intervention of impending problems, declining dialysis efficiency, or the need for timely modality switch, thus far associated with worse patient outcomes. 36 , 37 …”

Section: Methodsmentioning

confidence: 99%

Remote Patient Management for Home Dialysis Patients

Wallace

Rosner

Alscher

et al. 2017

Kidney International Reports

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Remote patient management (RPM) offers renal health care providers and patients with end-stage kidney disease opportunities to embrace home dialysis therapies with greater confidence and the potential to obtain better clinical outcomes. Barriers and evidence required to increase adoption of RPM by the nephrology community need to be clearly defined. Ten health care providers from specialties including nephrology, cardiology, pediatrics, epidemiology, nursing, and health informatics with experience in home dialysis and the use of RPM systems gathered in Vienna, Austria to discuss opportunities for, barriers to, and system requirements of RPM as it applies to the home dialysis patient. Although improved outcomes and cost-effectiveness of RPM have been demonstrated in patients with diabetes mellitus and heart disease, only observational data on RPM have been gathered in patients on dialysis. The current review focused on RPM systems currently in use, on how RPM should be integrated into future care, and on the evidence needed for optimized implementation to improve clinical and economic outcomes. Randomized controlled trials and/or large observational studies could inform the most effective and economical use of RPM in home dialysis. These studies are needed to establish the value of existing and/or future RPM models among patients, policy makers, and health care providers.

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Section: Methodsmentioning

confidence: 99%

Remote Patient Management for Home Dialysis Patients

Wallace

Rosner

Alscher

et al. 2017

Kidney International Reports

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“…PD technique failure increases hospitalization (approximately 9 more d/yr), the cost of PD therapy, and mortality (26)(27)(28). Chiu et al (27) found that technique failure added $7972 ($CAD) in inpatient costs to PD therapy.…”

Section: Discussionmentioning

confidence: 99%

Hospitalization Rates for Patients on Assisted Peritoneal Dialysis Compared with In-Center Hemodialysis

Oliver

Al-Jaishi

Dixon

et al. 2016

CJASN

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Background and objectives Assisted peritoneal dialysis is a treatment option for individuals with barriers to selfcare who wish to receive home dialysis, but previous research suggests that this treatment modality is associated with a higher rate of hospitalization. The objective of our study was to determine whether assisted peritoneal dialysis has a different rate of hospital days compared to in-center hemodialysis.

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“… 11 Transition to in-center HD is often necessary (ie, during times of severe peritonitis) and, if done in a timely fashion, can improve patients’ overall outcome, but unplanned transitions from PD to in-center HD are associated with a higher number and longer duration of hospitalizations and higher risk for mortality, emphasizing the importance of anticipating the need for transition when possible. 12 , 13 …”

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confidence: 99%

Peritoneal Dialysis and Mortality, Kidney Transplant, and Transition to Hemodialysis: Trends From 1996-2015 in the United States

et al. 2020

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Rationale & Objective Transitions between dialysis modalities can be disruptive to care. Our goals were to evaluate rates of transition from peritoneal dialysis (PD) to in-center hemodialysis (HD), mortality, and transplantation among incident PD patients in the US Renal Data System from 1996 to 2015 and identify factors associated with these outcomes. Study Design Observational registry-based retrospective cohort study. Setting & Participants Medicare patients incident to end-stage renal disease (ESRD) from January 1, 1996, through December 31, 2011 (for adjusted analyses; through December 31, 2014, for unadjusted analyses), and treated with PD 1 or more days within 180 days of ESRD incidence (n = 173,533 for adjusted analyses; n = 219,787 for unadjusted analyses). Exposure & Predictors Exposure: 1 or more days of PD. Predictors: patient- and facility-level characteristics obtained from Centers for Medicare & Medicaid Services Form 2728 and other data sources. Outcomes Patients were followed up for 3 years until transition to in-center HD, death, or transplantation. Analytical Approach Multivariable Cox regression was used to estimate hazards over time and associations with predictors. Results Compared with earlier cohorts, recent incident PD patient cohorts had lower rates of death (48% decline) and transition to in-center HD (13% decline). Among many other findings, we found that: (1) rates of transition to in-center HD and death were lowest in the 2008 to 2011 cohort, (2) longer time receiving PD was associated with higher mortality risk but lower risk for transition to in-center HD, and (3) larger PD programs (≥25 vs ≤6 patients) displayed lower risks for death and transition to in-center HD. Limitations Data collected on Form 2728 are only at the time of ESRD incidence and do not provide information at the time of transition to in-center HD, death, or transplantation. Conclusions Rates of transition from PD to in-center HD and death rates for PD patients decreased over time and were lowest in PD programs with 25 or more patients. Implications of the observed improved technique survival warrant further investigation, focusing on modifiable factors of center-level performance to create opportunities for improved patient outcomes.

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Is Transition between Peritoneal Dialysis and Hemodialysis Really a Gradual Process?

Abstract: ♦ 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.

Cited by 40 publications

References 26 publications

Remote Patient Management for Home Dialysis Patients

Remote Patient Management for Home Dialysis Patients

Hospitalization Rates for Patients on Assisted Peritoneal Dialysis Compared with In-Center Hemodialysis

Peritoneal Dialysis and Mortality, Kidney Transplant, and Transition to Hemodialysis: Trends From 1996-2015 in the United States

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