The Use of Continuous Peritoneal Dialysis in Europe for the Treatment of Children with End-Stage Renal Failure: Data from the EDTA Registry

Abstract

Abstract. The demographic data on the use of continuous peritoneal dialysis in Europe for children starting renal replacement therapy under the age of 15 years was obtained from data collected by the Registry of the European Dialysis and Transplant Association-European Renal Association (EDTA Registry) on individual patient questionnaires 1980-1986. Continuous ambulatory peritoneal dialysis (CAPD) and its variants appeared to be increasingly utilised as treatment for children with end-stage renal failure (ESRF) and accounted for approximately 25% of all renal replacement therapy (RRT). Important differences in its use in various European countries are demonstrated. The proportional contribution of CAPD to treatment was higher during the first year of RRT and gradually decreased thereafter. No significant sex differences existed in the use of this treatment. Approximately 70% of all patients on CAPD were older than 6 years of age, but it is in those under 6 years that the highest proportion are put on CAPD as first method of treatment for end-stage renal failure. The most common cause of abandonment of this treatment was peritonitis, which contributed 50% of the drop-out rate.Correspondence and offprint requests to: Professor F. P. Brunner, EDTA Registry, St Thomas' Hospital, London SE1 7EH, UK.

The Demographics of Pediatric Dialysis

“…Of the 436 European children who began RRT in 1980, only 37 (8.5%) were treated with CAPD. By 1986, this figure had risen to 116 (23%) of 504 new pediatric ESRD patients (20). Declining use of both hospital IPD and hospital hemodialysis as initial RRT modalities contributed to the gains made each year by CAPD.…”

“…The total contribution of PD to maintenance pediatric dialysis in the countries of the EDTA has also increased during this period, rising from 15% of all dialysis patients < 15 years old in 1982 to 26% in 1987 (20). Pediatric CAPD and CCPD patients are concentrated in eight of the EDTA countries: the United Kingdom, Israel, the Netherlands, the former West Germany, Italy, Poland, Spain, and France (10, [21][22][23][24][25].…”

“…An alternative method for calculating the proportional contributions of RRT modalities gives a slightly different picture. The proportional contribution of a dialysis modality can ble estimated by comparing the total patient-months of that therapy received by children during each year with the total patient-months of pediatric dialysis provided by all modalities (20). PD in France accounted for 25% of pediatric patient-months of dialysis in 1986, up from only 10% in 1984 (20).…”

“…The proportional contribution of a dialysis modality can ble estimated by comparing the total patient-months of that therapy received by children during each year with the total patient-months of pediatric dialysis provided by all modalities (20). PD in France accounted for 25% of pediatric patient-months of dialysis in 1986, up from only 10% in 1984 (20). In contrast, in the United Kingdom in 1986, over 70% of pe:diatric patientmonths of dialysis were provided by PD.…”

“…." (20). Unfortunately, detailed demographic data on pediatric dialysis modality distribution are ncl longer readily available from the EDTA, leaving us to wonder if these conditions have persisted.…”