Peritoneal Dialysis for Patients With Polycystic Kidney Disease in Spain

Pórtoles, José; Tato, A; López–Sánchez, Paula

doi:10.1053/j.ajkd.2011.07.004

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…Two of these patients had persistent peritonitis while the third experienced secondary drainage failure. Previous retrospective cohort studies showed that there is no difference in technique survival and peritonitis rates between PCKD patients and other non-diabetic patients receiving PD therapy (23)(24)(25)(26)(27). Another observational study revealed that PCKD does not increase the risk of peritonitis compared to all non-PCKD patients on continuous ambulatory peritoneal dialysis (CAPD) (28).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Percutaneous and Open Surgical Techniques for First-Time Peritoneal Dialysis Catheter Placement in the Unbreached Peritoneum

et al. 2015

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♦ Background: The percutaneous Seldinger method of peritoneal dialysis catheter (PDC) insertion has gained favor over recent years whereas traditionally it was reserved for patients considered not fit for general anesthesia. This blind technique is believed to be less safe, and is hence avoided in patients with previous laparotomy incisions. Reports on the success of this method may therefore be criticized for selection bias. In those with no prior abdominal surgery the optimal method of insertion has not been established. ♦ Methods: We retrospectively reviewed the outcomes of first-time PDC placements comparing the percutaneous (group P) and surgical (group S) insertion techniques in patients without a history of previous abdominal surgery in a single center between January 2003 and June 2010. We assessed catheter survival at 3 and 12 months postinsertion and compared complication rates between the two groups. ♦ Results: A total of 63 percutaneous and 64 surgical catheter insertions were analyzed. No significant difference was noted in catheter survival rates between group P and group S (86.2% vs 80% at 3 months, p = 0.37; and 78.3% vs 71.2% at 12 months, p = 0.42 respectively). Early and overall peritonitis rates were similar (5% vs 5.3%; p = 1, and 3.5 vs 4.9 episodes per 100 patient-months; p = 0.13 for group P and group S respectively). There were also no significant differences between the two groups in exit site leaks (15.9% in group P vs 6.3% in group S; p = 0.15), poor initial drainage (9.5% in group P vs 10.9% in group S, p = 0.34) or secondary drainage failure (7.9% in group P vs 18.8% in group S, p = 0.09).

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Section: Discussionmentioning

confidence: 99%

Comparison of Percutaneous and Open Surgical Techniques for First-Time Peritoneal Dialysis Catheter Placement in the Unbreached Peritoneum

et al. 2015

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“…Data collected at data base include: demographic parameters, cause of nephropathy, previous RRT (transfer from HD, graft failure or naïve), reason for choosing PD, comorbidity (Charlson comorbidity index [CCI]) (7) and pre-PD cardiovascular events (stroke, acute myocardial infarction, peripheral arteriopathy). Clinical data were recorded every 6 months from PD program inclusion until the end of the technique for any reason (8). Those data included: dialysis dose (weekly Kt/V) (9), residual renal function, peritoneal transport characteristics (Peritoneal Equilibrium Test), hemoglobin, and blood pressure (BP).…”

Section: Methodsmentioning

confidence: 99%

Peritoneal Dialysis can be an Option for Dominant Polycystic Kidney Disease: An Observational Study

et al. 2015

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“…Lobbedez et al [ 39 ] analyzed 344 French PKD and did not find evidence of a higher incidence of technique failure when compared with the non-PKD group. Similarly, Portoles et al [ 40 ] also found that a “peritoneal dialysis first” model combined with an active transplant program has been successful in Spain. Li et al [ 41 ] also reported peritoneal dialysis is a feasible treatment option for PKD patients despite a higher risk of abdominal wall hernia in their analysis of 126 peritoneal dialysis patients from Hong Kong.…”

Section: Discussionmentioning

confidence: 93%

Incidence and survival of end-stage kidney disease due to polycystic kidney disease in Australia and New Zealand (1963–2014)

Fernando

Dent

McDonald

et al. 2017

Popul Health Metrics

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BackgroundThe aim of this study was to determine whether the incidence and survival of patients with end-stage kidney disease (ESKD) due to polycystic kidney disease (PKD) has changed in Australia and New Zealand.MethodsData for all PKD patients who developed ESKD and commenced renal replacement therapy (RRT) was assessed using the Australia and New Zealand Dialysis and Transplant Registry from 1963 to 2014.ResultsA total 4678 patients with ESKD due to PKD received RRT during the study period. The incidence rate of ESKD (per million population per year) due to PKD rose by 3.2-fold (1970–2010), but the percentage increase between each decade decreased (54.4, 43.8, 25.6 and 6.57%). The median age of onset of new patients developing ESKD has been stable since 1990. Haemodialysis was the most common initial mode of RRT (between 62 and 76% of patients) whereas 24–29% received peritoneal dialysis. The 5-year survival rate of PKD patients on RRT (censored for transplantation and adjusted for age) improved from 26 to 84%, with the percentage increase between each successive time period being 123, 7, 21, 19 and 7.4%. The percentage of deaths on RRT due to cerebrovascular disease declined from 15 to 6%.ConclusionsThe incidence and age of onset of ESKD due to PKD has remained unchanged in the modern era though patient survival on RRT has continued to improve. These data suggest that the development and implementation of disease-specific treatments prior to RRT is needed to effectively diminish the incidence of ESKD due to PKD.

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Peritoneal Dialysis for Patients With Polycystic Kidney Disease in Spain

Cited by 6 publications

References 3 publications

Comparison of Percutaneous and Open Surgical Techniques for First-Time Peritoneal Dialysis Catheter Placement in the Unbreached Peritoneum

Comparison of Percutaneous and Open Surgical Techniques for First-Time Peritoneal Dialysis Catheter Placement in the Unbreached Peritoneum

Peritoneal Dialysis can be an Option for Dominant Polycystic Kidney Disease: An Observational Study

Incidence and survival of end-stage kidney disease due to polycystic kidney disease in Australia and New Zealand (1963–2014)

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