A comparison of peritonitis rates from the United States Renal Data System database: CAPD versus continuous cycling peritoneal dialysis patients

Oo, Than N.; Roberts, Tricia; Collins, Allan J.

doi:10.1053/j.ajkd.2004.10.008

Cited by 113 publications

(98 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There was, however, no era effect for any of the other predictor variables, suggesting that their association with peritonitis is not related to the year in which the patient initiated PD. The finding that Black race is associated with a greater risk for peritonitis is consistent with previous studies (1,2). The higher proportion of Gram-positive peritonitis in Black patients has not been previously described but should be interpreted with caution given their relatively small number in this study.…”

Section: Discussionsupporting

confidence: 82%

“…It is not surprising that diabetes was associated with a higher peritonitis rate, because this has been previously reported (1,4,5); however, in this study, we found for the first time a significant interaction between gender and diabetes, such that the higher peritonitis rate was present only among female patients with diabetes. Although this has not previously been described with respect to peritonitis risk, several large US studies demonstrated a higher incidence of death on PD among women, in particular among female patients with diabetes (17)(18)(19).…”

Section: Discussioncontrasting

confidence: 52%

“…Furthermore, a previous peritonitis episode has been shown to increase the risk for developing a subsequent episode (1,2). Although the association between age and peritonitis has been inconsistent across different studies (1,3,5,8,9), we recently reported an era effect for age, such that the increased risk associated with older age disappeared among those who initiated PD after the year 2000 (10). The data regarding other important factors are conflicting.…”

mentioning

confidence: 86%

“…One such example is the use of continuous ambulatory PD (CAPD) versus automated PD (APD) as a PD modality. Several studies have reported an increased peritonitis risk with CAPD (8,9,11,12), whereas others have reported no difference (13) or an increased risk with APD (1,14).…”

mentioning

confidence: 99%

“…Among demographic characteristics, Black race (1,2), Aboriginal race (3), diabetes (1,4,5), and obesity (3,6) have been associated with a higher risk for peritonitis. In addition, hypoalbuminemia (4,7) and lack of residual renal function (5) have been reported to be associated with a shorter time to first peritonitis.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Predictors of Peritonitis in Patients on Peritoneal Dialysis

Nessim

Bargman

Austin

et al. 2009

Clinical Journal of the American Society of Nephrology

125

103

View full text Add to dashboard Cite

Background and objectives: Despite the decreasing incidence of peritonitis among peritoneal dialysis (PD) patients over time, its occurrence is still associated with significant morbidity and mortality. Determining factors that are associated with PD peritonitis may facilitate the identification of patients who are at risk.Design, setting, participants, & measurements: Using data collected in the multicenter Baxter POET database between 1996 and 2005, the study population included incident Canadian PD patients. Potential predictors of peritonitis were sought using a negative binomial model and an Andersen-Gill model. Study variables included age, gender, race, cause of renal disease, diabetes status, transfer from hemodialysis (HD), previous renal transplant, and continuous ambulatory PD (CAPD) versus automated PD (APD).Results: Data were available for 4247 incident PD patients, including 1605 patients with a total of 2555 peritonitis episodes. Using the negative binomial regression model, factors that were independently associated with a higher peritonitis rate included age, Black race, and having transferred from HD. There was an interaction between gender and diabetes, with an increased risk for peritonitis among female patients with diabetes. The use of CAPD versus APD did not affect the peritonitis rate. The Andersen-Gill model for recurrent events yielded similar results.Conclusions: Predictors of PD peritonitis included Black race, transferring from HD to PD, and diabetes among women. In contrast to previous findings, CAPD and APD were similar with regard to peritonitis risk.

show abstract

Section: Discussionsupporting

confidence: 82%