Peritoneal Dialysis, a Medical-Surgical Collaboration, Do We Offer Quality Standards?

Abstract

INTRODUCTION Peritoneal dialysis is one of the renal replacement therapy options for patients with advanced chronic kidney disease. It provides an improvement in quality of life since it is practiced at home once a previous training has been completed, waiting for kidney transplant or if the patient is not a candidate for it. MATERIAL AND METHODS Between January 2014 and December 2017, an observational, descriptive, longitudinal and retrospective study was performed with 211 patients treated with peritoneal dialysis in a tertiary level hospital. In a 2-year follow-up, the complications, results and situation of peritoneal dialysis were analyzed, providing solutions for a better quality of patient care. Clinical and surgical variables were collected. RESULTS Survival of the first and second catheters was greater than 12 months in 79.5% and 86.2% of the patients, respectively. In the first 30 days after catheter placement, 4.7% of the patients had peritonitis. In no case was there visceral damage during surgery, nor was a reoperation required during the immediate postoperative period. Neither postoperative transfusions were needed nor were there leaks. The most important cause of end of technique (34.1%) was receiving a kidney transplant. CONCLUSIONS The peritoneal dialysis technique can be considered a good medical-surgical collaboration, since, in addition to complying with the established quality standards regarding this treatment, it is self-sufficient and effective as a renal replacement treatment in patients with advanced chronic kidney disease.