Hong Kong Registry Report 2004

Ho, Yiu‐Wing; Chau, Ka-Foon; Leung, Chi-Bon; Choy, Bo-Ying; Tsang, Wai-kei; Wong, Ping‐Nam; Cheng, Yuk Lun; Lai, Wai-ming; Yong, D S P; Kwan, Tze-Hoi; Lui, Siu‐Fai

doi:10.1016/s1561-5413(09)60179-4

Cited by 24 publications

(17 citation statements)

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“…It was possible that selection bias existed because healthier patients required less frequent follow up and, as a result, were less likely to be interviewed. The baseline demographic characteristics of the recruited patients, however, were similar to that previously reported in our locality, 27,28 suggesting that patients in our study are representatives of the overall dialysis population.…”

Section: Discussionsupporting

confidence: 81%

Comprehensive malnutrition inflammation score as a marker of nutritional status in Chinese peritoneal dialysis patients

Chan¹,

I²,

Lam³

et al. 2006

Nephrology

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Section: Discussionsupporting

confidence: 81%

Comprehensive malnutrition inflammation score as a marker of nutritional status in Chinese peritoneal dialysis patients

Chan¹,

I²,

Lam³

et al. 2006

Nephrology

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“…In Hong Kong, there were more than 3,500 patients on long-term dialysis in 2004 [1]. Peritoneal dialysis (PD) is the first-line renal replacement therapy in Hong Kong, and accounts for 80% of patients requiring dialysis [1]. …”

Section: Introductionmentioning

confidence: 99%

Prognostic Value of Arterial Pulse Wave Velocity in Peritoneal Dialysis Patients

et al. 2012

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Background: Cardiovascular disease is the most common cause of mortality in chronic peritoneal dialysis (PD) patients. Increased arterial stiffness may be related to a high peritoneal permeability, resulting in fluid overload of PD patients. We examined the prognostic value and factors that govern the longitudinal change of arterial pulse wave velocity (PWV) in Chinese PD patients. Method: We enrolled 155 new PD patients. PWV was measured at baseline and then repeated after 2 years of follow-up. Results: At 24 months, the survival of patients with baseline carotid-femoral (CF)-PWV above 10 m/s was significantly worse than that of those with CF-PWV below 10 m/s (76.1 vs. 88.6%, p = 0.006). However, after adjusting for confounding factors, CF-PWV was not an independent predictor of survival. Amongst the 100 patients who had repeated PWV measurement after 2 years, the average CF-PWV increased from 9.92 ± 2.04 to 11.00 ± 2.30 m/s (p < 0.0001). The change in CF-PWV over 2 years significantly correlated with systolic blood pressure (r = 0.241, p = 0.036), serum calcium level (r = 0.231, p = 0.044), and normalized protein nitrogen appearance (NPNA) (r = –0.337, p = 0.001). Conclusions: A high baseline CF-PWV was associated with a lower overall survival of Chinese PD patients, but the prognostic value of CF-PWV disappeared after adjusting for confounding factors. After 2 years of PD, most patients had progressive increase in CF-PWV; the magnitude of increase is related to systolic blood pressure, serum calcium level, and baseline NPNA. Further study is needed to determine whether serial measurement of CF-PWV provides additional prognostic information.

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“…The development of a ‘peritoneal dialysis first’ (PD-first) policy has contributed significantly to a successful dialysis program in Hong Kong [7]. Currently in Hong Kong, 80% of ESRD patients on maintenance dialysis are on PD, mainly continuous ambulatory PD; 20% are on HD [8]. Although this policy may not be ideal, it provides an excellent opportunity for us to examine the clinical outcome of a large unselected group of patients who were put on HD because of failed PD.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Hemodialysis Patients Who Had Failed Peritoneal Dialysis

et al. 2010

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Background: Peritoneal dialysis (PD) and hemodialysis (HD) are often regarded as equivalent choices of renal replacement therapy. However, little is known about the outcome of patients who failed PD and converted to long-term HD. Methods: We reviewed 197 patients who received long-term HD after failed PD in a University hospital from 1994 to 2008 (the PD-first group) and 140 patients who received long-term HD as their initial therapy during that period (the primary-HD group). Their survival rates are compared. Results: The two groups are highly comparable in terms of baseline demographic data. The PD-first group required more temporary dialysis catheters than the primary-HD group (3.1 ± 3.4 vs. 1.5 ± 1.8, p < 0.0001). At 5 years, the actuarial survival of the PD-first group was significantly lower than that of the primary-HD group (39.9 vs. 59.7%, p < 0.0001), while technique survival was similar (30.4 vs. 30.1%, p = 0.7). When analysis on actuarial survival was performed for patients who survived the first 12 months on HD, the 5-year survival became similar (65.2 vs. 68.8%, p = 0.5). During the first 12 months on HD, independent predictors of actuarial survival of the PD-first group were duration of PD, Charlson’s comorbidity score, type of permanent access and serum albumin before conversion; after 12 months, independent predictors of actuarial survival were Charlson’s comorbidity score, total Kt/V, residual renal function, fat-free edema-free body mass before conversion and baseline peritoneal transport. Conclusion: Patients who were converted to long-term HD after failed PD had a higher mortality than patients who used HD as the primary modality of renal replacement therapy. The excessive mortality, however, was limited to the first 12 months after conversion, and the technique survival was similar between the two groups. Vascular access is a common problem in patients who failed PD.

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Hong Kong Registry Report 2004

Cited by 24 publications

References 0 publications

Comprehensive malnutrition inflammation score as a marker of nutritional status in Chinese peritoneal dialysis patients

Comprehensive malnutrition inflammation score as a marker of nutritional status in Chinese peritoneal dialysis patients

Prognostic Value of Arterial Pulse Wave Velocity in Peritoneal Dialysis Patients

Outcome of Hemodialysis Patients Who Had Failed Peritoneal Dialysis

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