Posttransplant Outcomes of Peritoneal Dialysis Versus Hemodialysis Patients

Freitas, Cláudia; Fructuoso, Mónica; Martins, La Salete; Almeida, Manuela; Pedroso, Sofía; Dias, Leonídio; Henriques, António Castro; Cabrita, António

doi:10.1016/j.transproceed.2010.12.008

Cited by 16 publications

(14 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most patients require dialysis as they wait for transplantation; however, the impact of pretransplant dialysis on the posttransplant graft and patient survival has produced conflicting results. A number of studies have demonstrated that the modality of dialysis does not affect the outcomes [1][2][3][4] . However, other studies have indicated an increased survival for patients and grafts treated by peritoneal dialysis (PD) or, on the contrary, increased graft survival by hemodialysis (HD) [5][6][7][8] , despite the fact that the 2 largest studies using national datasets in the 21st century have yielded conflicting results [8,9] .…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Transplant Outcomes in Peritoneal and Hemodialysis Patients: A Meta-Analysis

Tang

Liu

2016

Blood Purif

View full text Add to dashboard Cite

Background: Peritoneal dialysis (PD) and hemodialysis (HD) have been considered the 2 standard pre-transplant dialysis modalities in patients awaiting kidney transplantation. However, the impact of pretransplant dialysis on the short- and long-term post-transplant outcomes remains controversial. Methods: We searched PubMed, EMBASE and the Cochrane central register of controlled trials for this review. Twelve studies were identified by strict screening for the meta-analysis. Results: We found that pretransplant PD patients had a significantly lower incidence of delayed graft function than HD patients, with an OR 0.67 (95% CI 0.62-0.72, p < 0.05). In contrast, there was no significant difference in the incidence of acute rejection, OR 0.96 (95% CI 0.75-1.16). Pretransplant PD had a better 5-year patient survival rate than HD, with a hazard ratio 0.86 (95% CI 0.79-0.95, p < 0.05); however, there were no significant differences in the graft survival rate (p = 0.08). Conclusions: We found that PD was a better choice of pretransplant dialysis modality than HD. Video Journal Club ‘Cappuccino with Claudio Ronco' at http://www.karger.com/?doi=446272.

show abstract

Section: Introductionmentioning

confidence: 99%

A Comparison of Transplant Outcomes in Peritoneal and Hemodialysis Patients: A Meta-Analysis

Tang

Liu

2016

Blood Purif

View full text Add to dashboard Cite

show abstract

“…Pre‐transplant peritoneal dialysis (PD) may be preferable to hemodialysis (HD) in improving mortality and reducing hepatitis virus infection and post‐transplant oliguria . However, the effect of pre‐transplant dialysis modality on development of DGF is not as clear . In addition, it remains unknown whether post‐transplant dialysis modality in renal transplant recipients with DGF affects perioperative or graft outcomes.…”

mentioning

confidence: 99%

Peritoneal dialysis versus hemodialysis in patients with delayed graft function

Thomson

Moser

Marek

et al. 2013

Clinical Transplantation

View full text Add to dashboard Cite

Delayed graft function (DGF) in kidney transplantation affects adverse outcomes. It remains unclear whether the post-transplant dialysis modality alters perioperative or long-term graft outcomes. We performed a retrospective observational quality initiative at two Canadian renal transplant centers, in which DGF occurred in the recipient, necessitating one of peritoneal dialysis (PD) or hemodialysis (HD). There was no difference in baseline factors between patients with post-transplant PD (n = 14) or HD (n = 63). The use of PD was associated with an increased risk of wound infection/leakage (PD 5/14 vs. HD 6/63, p = 0.024), shorter length of hospitalization (13.7 vs. 18.7 d, p = 0.009) and time requiring dialysis post-operatively (6.5 vs 11.0 d, p = 0.043). There were no differences in readmission to hospital within 6 months (4/14 vs. 23/63, p = 0.759), graft loss (0/14 vs. 2/63, p = 1.000) or acute rejection episodes (1/14 vs. 4/63, p = 1.000) at one yr, and GFR did not differ between the PD or HD groups at 30 d (35.7 vs. 33.8 mL/min/m(2), p = 0.731), six months (46.9 vs. 45.5 mL/min/m(2), p = 0.835) or one yr (46.6 vs. 44.5 mL/min/m(2), p = 0.746). Further research is needed to determine which transplant patients are most appropriate to undergo PD catheter removal at the time of transplantation.

show abstract

“…A recent retrospective single center analysis in 38 PD and 268 HD patients describes a higher incidence of DGF and primary allograft failure for HD patients, but was no difference in acute rejection episodes, long-term survivals, or renal function [36].…”

Section: Pd and The Occurrence Of Delayed Graft Function After Renal mentioning

confidence: 99%

Comparison of Renal Transplantation Outcomes in Patients After Peritoneal Dialysis and Hemodialysis – A Case Control Study and Literature Review

Rath¹,

Ziefle²

2013

Current Issues and Future Direction in Kidney Transplantation

View full text Add to dashboard Cite

Posttransplant Outcomes of Peritoneal Dialysis Versus Hemodialysis Patients

Cited by 16 publications

References 28 publications

A Comparison of Transplant Outcomes in Peritoneal and Hemodialysis Patients: A Meta-Analysis

A Comparison of Transplant Outcomes in Peritoneal and Hemodialysis Patients: A Meta-Analysis

Peritoneal dialysis versus hemodialysis in patients with delayed graft function

Comparison of Renal Transplantation Outcomes in Patients After Peritoneal Dialysis and Hemodialysis – A Case Control Study and Literature Review

Contact Info

Product

Resources

About