Factors Associated with Above and Under 5-Year Survival in Peritoneal Dialysis Patients

Abstract

Background/aims: A few patients stay on peritoneal dialysis (PD) for 5 years or longer from initiation of therapy. We investigated patient survival and factors affecting mortality in PD patients. Methods: This was a retrospective study including 354 PD patients. The demographic, clinical, and biochemical data were collected from the medical records. Two hundred patients were excluded. Evaluation was carried out on data from 154 patients, including 83 surviving 5 years or more and 71 who were taken as surviving less than 5 years. Results: Mean age, number of comorbid diseases, prevalence of diabetes mellitus (DM), rate of mandatory preference of PD, making their PD exchanges with help from anyone were lower in surviving patients, and education level was higher in surviving patients. Advanced age, high rate of mandatory preference of PD, high rate of baseline high, and high-average peritoneal transporters were associated with an increased risk of death. Conclusion: Long-term survival is possible for PD patients, particularly nondiabetics, those having higher education level, those with a self-preference of PD, and those making PD exchanges without any help.

Peritoneal dialysis practice in Australia and New Zealand: A call to sustain the action

“…Following dialysis education, most patients should be given the modality choice between PD and HD. Self‐preference for PD is associated with better long‐term (>5 years) PD survival . Nevertheless, ANZDATA analyses clearly demonstrate that many centres do not appear to offer a free choice in dialysis modality, despite clinicians believing they do so .…”

“…Self-preference for PD is associated with better long-term (>5 years) PD survival. 34 Nevertheless, ANZDATA analyses clearly demonstrate that many centres do not appear to offer a free choice in dialysis modality, despite clinicians believing they do so. 1 This has resulted in a marked variation in PD penetration across units that is not obviously explained by patient-related factors.…”

Outcomes of Remote Patient Monitoring in Peritoneal Dialysis: A Meta-Analysis and Review of Practical Implications for COVID-19 Epidemics

“…5 Peritoneal dialysis (PD) is a home-based kidney replacement therapy that provides patients with greater independence and potentially preservation of cognitive function and residual renal function than facility-based hemodialysis. 6,7 Nonetheless, PD success requires a bidirectional functional relationship between the patient and the caregiver. 2 Details about whether a treatment was fully implemented are based on information provided by patients and their caregivers.…”

“…Patients may feel safer and more independent at home, but it is important they record details about their treatment, such as their weight, blood pressure, and PD fluid fill/dwell/ drain information and share them with healthcare providers on a regular basis. 6 Failure of monitoring PD data and providing pivotal assistance in a timely manner may lead to an increased rate of hospitalization, extended hospital stay, and, eventually, dialysis modality failure. 6 To ensure successful home-dialysis therapy, regular follow-up is mandatory for this population.…”

“…6 Failure of monitoring PD data and providing pivotal assistance in a timely manner may lead to an increased rate of hospitalization, extended hospital stay, and, eventually, dialysis modality failure. 6 To ensure successful home-dialysis therapy, regular follow-up is mandatory for this population. 6 Under normal circumstances, PD patients visit the PD unit on a monthly or bimonthly basis for routine follow-up visits.…”