Patient-Doctor Contact Interval and Clinical Outcomes in Continuous Ambulatory Peritoneal Dialysis Patients

Chen, Yi; Guo, Qunying; Lin, Jianxiong; Li, Jianying; Yu, Xueqing; Yang, Xiao

doi:10.1159/000464258

Cited by 10 publications

(12 citation statements)

References 21 publications

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“…All patients and their caregivers underwent a 5- to 7-day PD training program by nurses with the appropriate qualifications and experience, following the guideline from the International Society for Peritoneal Dialysis (ISPD) (12), with retraining offered as needed. A comprehensive follow-up program was used for the management of these CAPD patients, which included regular PD center visiting care every 1 – 3 months, telephone supportive care, a 24-h hotline for emergencies, and home visits for PD patients with frequent episodes of peritonitis (13,14). All patients were followed up until transferred to HD, kidney transplantation, transferred to other centers, or death.…”

Section: Methodsmentioning

confidence: 99%

Changes in Outcomes over Time among Incident Peritoneal Dialysis Patients in Southern China

Peng

Chen

et al. 2019

Perit Dial Int

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Background The present study was to investigate the changes in outcomes of incident patients who started peritoneal dialysis (PD) between 2006 – 2010 and 2011 – 2015 in Southern China. Methods In this single-center cohort study, incident PD patients from January 1, 2006, to December 31, 2015, were enrolled. Collected data included baseline demographic, clinical, biochemical characteristics, and outcomes. Patients who initiated PD during 2006 – 2010 and 2011 – 2015 were followed up until December 31, 2011, and December 31, 2016, respectively. Peritonitis rate, patient survival, and technique survival were compared between the 2 incident cohorts. Results A total of 2,021 incident PD patients were enrolled, with a mean age of 47.2 ± 15.2 years, 40.6% female. Compared with the 2006 – 2010 cohort ( n = 1,073), patients initiating PD during 2011 – 2015 ( n = 948) were younger (46.2 ± 14.8 vs 48.1 ± 15.5 years, p = 0.006), had similar baseline estimate glomerular filtration rate (eGFR) (5.81 ± 2.41 vs 5.81 ± 2.89 mL/ min/1.73 m2, p = 0.109) and comparable percentage of diabetes mellitus (24.9% vs 25.7%, p = 0.682). The overall peritonitis rate in the 2011 – 2015 cohort was lower than in the 2006 – 2010 cohort (0.158 vs 0.161 episodes per year, p = 0.001). At the end of 1, 3, and 5 years, the 2006 – 2010 and 2011 – 2015 cohorts had patient survival rates of 94%, 82%, 64%, and 97%, 87%, 74%, respectively ( p < 0.001). After multivariable adjustment, patients starting PD in 2011 – 2015 were associated with lower risk of all-cause mortality (hazard ratio [HR] 0.77, 95% confidence interval [CI] 0.60 – 0.98). In gender and age-stratified models, male patients had a significantly lower risk of all-cause mortality (HR 0.58, 95% CI 0.41 – 0.83), and patients with age < 65 years showed a significantly lower risk of cardiovascular (CV) mortality (HR 0.63, 95% CI 0.40 – 0.99) in 2011 – 2015 compared with 2006 – 2010. The death-censored technique survival rates were not significantly different between the 2 cohorts ( p = 0.234). Conclusion Peritonitis rates and patient survival on PD continue to improve. Patients initiating PD between 2011 and 2015 were associated with better outcomes.

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Section: Methodsmentioning

confidence: 99%

Changes in Outcomes over Time among Incident Peritoneal Dialysis Patients in Southern China

Peng

Chen

et al. 2019

Perit Dial Int

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“…A previous study conducted by Yi et al indicated that patientdoctor contact interval of 2 months or less provided positive outcomes in CAPD patients. 42 In order to continue and facilitate monitoring and communication, health care professionals initiated the WhatsApp's group chat as a mobile digital communication channel. The use of social media such as WhatsApp as a medium for discussing health condition and health knowledge had been well established and used among CAPD patients in Indonesia to communicate with health care professionals and with other CAPD patients.…”

Section: Discussionmentioning

confidence: 99%

<p>Patient engagement activities with health care professionals in continuous ambulatory peritoneal dialysis therapy: an exploratory pilot study</p>

Darmayanti

Simatupang

Rudito

2019

IJNRD

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Background: This pilot study aimed to explore the engagement activities between patients on continuous ambulatory peritoneal dialysis (CAPD) therapy and their health care professionals. Methods: An exploratory qualitative study was conducted. In-depth semi-structured interviews were undertaken involving four CAPD patients who were selected through purposive sampling. The participants were asked questions about their engagement experiences with their health care professionals. Results: Six main engagement activities were derived from the interview analysis: obtaining initial knowledge, developing knowledge and skills, feeling confident, following clinical advice, updating health condition, and supporting CAPD therapy. Conclusion: Patients engagement activities played an important role in CAPD therapy. The engagement activities covered the cognitive, emotional, and behavioral dimensions. Obtaining initial knowledge as well as developing knowledge and skills are essential engagement activities before patients perform CAPD therapy.

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“…Furthermore, key PD guidelines have been translated into Chinese since 2010, facilitating their application among Chinese doctors, and guiding and prioritizing research interests. The guidelines clearly stated future research trends and the need for high-level evidence in some critical areas to solve clinical problems, which stimulated research in these fields (45,46). Finally, industry research funding in preferred topics guided PD research in the hottest research areas, such as continuous quality improvement (CQI) in PD centers (15,16,18,19), preservation of residual renal function (RRF) (47), and new training models for startup PD centers (28).…”

Section: Potential Reasons For Pd Research Boommentioning

confidence: 99%

“…Without doubt, the results of the study guided clinical practice to further improve the cure rate among patients with peritonitis due to E. coli , and they were cited in the recent ISPD guidelines (54). The same team published further papers on preventing peritonitis by adjusting the patient–doctor contact interval (45) and addressing risk factors for the first episode of peritonitis, such as hypoalbuminemia (46). The impact of these and other Chinese studies on clinical practice is reflected in the introduction of new center management practices, including increased patient involvement, such as the use of patient education focus groups.…”

Section: Impact On Clinical Practicementioning

confidence: 99%

What pd Research in China Tells Us

Yao¹,

Dong

Feng³

et al. 2018

Perit Dial Int

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Peritoneal dialysis (PD) was introduced in China later than in most Western countries, and PD research activity was quite limited until the 1990s. However, in the 2000s, and even more so during the last decade, there has been an unsurpassed increase in the number of PD patients, paralleled by a substantial increase in PD research activity reflected by an increasing number of PD papers from China. In this brief review, we describe some of the factors that may explain the dramatic developments in PD research in mainland China, such as the focus on basic research using scientific approaches that subsequently could be applied also in clinical studies. Another important factor was the growing interactions with international PD research centers in Hong Kong and in Western countries. Thanks to strong support from Chinese national and regional funding sources, a growing number of young Chinese researchers went to key international PD centers to learn about novel advanced research techniques. This paved the way for long-lasting, productive collaborations with benefits also for the foreign host institutions. Finally, we present some current research projects, including basic research that may contribute to the understanding of mechanisms behind complications such as peritonitis, and clinical projects aiming at improving PD management guidelines and better understanding of the potential of PD in China. Because of the size of the PD population, now the largest in the world, and the increasing number, and quality, of researchers in the PD field, PD research in China is destined to be a major contributor to advancements in PD in the near future.

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Patient-Doctor Contact Interval and Clinical Outcomes in Continuous Ambulatory Peritoneal Dialysis Patients

Cited by 10 publications

References 21 publications

Changes in Outcomes over Time among Incident Peritoneal Dialysis Patients in Southern China

Changes in Outcomes over Time among Incident Peritoneal Dialysis Patients in Southern China

<p>Patient engagement activities with health care professionals in continuous ambulatory peritoneal dialysis therapy: an exploratory pilot study</p>

What pd Research in China Tells Us

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