Access to, and outcome of, renal transplantation according to treatment modality of end-stage renal disease in France

Chalem, Ylana; Ryckelynck, Jean-Philippe; Tuppin, Philippe; Verger, Christian; Chauvé, Sylvie; Glotz, Denis

doi:10.1111/j.1523-1755.2005.00353.x

Cited by 41 publications

(32 citation statements)

References 14 publications

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“…Whereas the lower incidence in delayed graft function among PD patients compared to those on HD has been confirmed by other studies [60][61][62], the effect on long-term graft survival is not established, with some studies showing a benefit [60] and others no effect [61,62].…”

Section: Pd and Kidney Transplantationmentioning

confidence: 88%

Home dialysis as a first option: a new paradigm

et al. 2009

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Traditionally, the initial choice of dialysis for patients with end stage renal disease (ESRD) has been in-center hemodialysis (HD) or peritoneal dialysis (PD). Usually, the choice between these (PD vs. HD) has been based on the characteristics of the dialysis techniques. Obviously the choice of peritoneal dialysis implied dialysis at home, but its geographic location has been only a secondary consideration. Peritoneal dialysis has evolved as a dependable mode that gives good outcomes. This method has become more attractive with the option of overnight cyclers and the recent use of home helpers in some jurisdictions. At the same time the interest in home hemodialysis was rekindled by reports of good outcomes with short daily or nocturnal hemodialysis. Home dialysis (PD or HD) offers high quality of treatment, a high degree of patient independence, and is financially attractive. Therefore, we propose a change in our approach to the choice of the initial form of dialysis for patients with ESRD. Instead of choosing between HD and PD we should present the new patients the advantage of dialysis at home and instead of asking them to choose between peritoneal dialysis or hemodialysis, they should be offered the option to choose between dialysis at home (PD or HD) or in-hospital. This paper will review the advantages of the home-based dialysis methods and the arguments for this simple but vital change in the process of choosing the method of dialysis.

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Section: Pd and Kidney Transplantationmentioning

confidence: 88%

Home dialysis as a first option: a new paradigm

et al. 2009

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“…Although as many as 20% of ESRD patients are on PD at the time of transplantation, there has been no consensus with regards to the optimal timing of PD catheter removal. 5 In the current study, we report that PD catheters left in situ following transplantation are associated with a higher risk of catheter-related complications compared with PD catheters removed at the time of renal transplantation, regardless of allograft function or need for postoperative PD.…”

Section: Discussionmentioning

confidence: 79%

Should peritoneal dialysis catheters be removed at the time of kidney transplantation?

Warren

Jones

Şener

et al. 2012

CUAJ

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Background: Delayed graft function (DGF) following transplantation necessitates support in the form of hemodialyis (HD) or peritoneal dialysis (PD). However, post-transplant PD-related complication and failure rates are unknown. Methods: We studies patients who were on PD at the time of kidney transplantation over a 4-year period at two separate institutions. Results: Of the 137 PD patients, 19 had their catheters removed at the time of transplant. Of the remaining 118 patients, 89% had immediate graft function. PD-related complications in this group included peritonitis (n=5), catheter-related infections (n=2) and emergency laparotomy (n=1). Of the 15 patients requiring posttransplant PD, 33% developed peritonitis and 20% had fluid-leaks necessitating HD. Overall, leaving a PD catheter in situ post-transplantation is associated with 7% rate of peritonitis versus 0% if removed (p < 0.05). Conclusions: PD catheter removal should be considered at the time of renal transplantation, as postoperative PD-related failure/ complication rates are high.

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“…Presently, there has been no consensus regarding the optimal timing for PD catheter removal. 5 In previous years, there was a trend to not remove the PD catheter at the time of transplant. However, recent literature has recommended that decisions concerning removal of a PD catheter must be made according to the patient's condition.…”

Section: Discussionmentioning

confidence: 99%

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2016

Exp Clin Transplant

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Objectives: Peritoneal dialysis, the preferred long-term renal replacement modality in the pediatric population, can also be used during the post transplant period. Although it is well known that peritonitis or other complications may occur related to the peritoneal dialysis catheter, less is known about complications related to the peritoneal dialysis during the posttransplant period. Our objective was to evaluate the complications related to use of a peritoneal dialysis catheter during the posttransplant period and to determine the optimum time for removal of the peritoneal dialysis catheter. Material and Methods: We retrospectively analyzed 33 chronic peritoneal dialysis patients. Pretransplant and posttransplant demographics and clinical and laboratory data for each patient were recorded, including incidence of peritonitis and incidence of peritoneal dialysis catheter requirement after transplant. Results: Mean age of patients at transplant was 12.8 ± 4.0 years (range, 3.5-18.0 y). Mean catheter removal time was 81.1 ± 36.2 days (range, 22.0-152.0 d). The peritoneal dialysis catheter was used in 6 of 33 patients (18.2%); none of these patients developed peritonitis. In contrast, 2 of the 27 patients who did not use the peritoneal dialysis catheter developed peritonitis. Our data suggest that the need for catheter use occurs predominantly during the first month, and infectious complications usually happen later. Conclusions: Previously, the trend was to not remove the peritoneal dialysis catheter at the time of transplant. However, in light of recent literature and our present study, we recommend that the time of catheter removal should be modified and decided for each patient on an individual basis.

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Access to, and outcome of, renal transplantation according to treatment modality of end-stage renal disease in France

Cited by 41 publications

References 14 publications

Home dialysis as a first option: a new paradigm

Home dialysis as a first option: a new paradigm

Should peritoneal dialysis catheters be removed at the time of kidney transplantation?

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