Randomized Study of Urgent-Start Peritoneal Dialysis Versus Urgent-Start Temporary Hemodialysis in Patients Transitioning to Kidney Failure

Parapiboon, Watanyu; Sangsuk, Juthamash; Nopsopon, Tanawin; Pitsawong, Wannapat; Tatiyanupanwong, Sajja; Kanjanabuch, Talerngsak; Johnson, David W.

doi:10.1016/j.ekir.2022.05.032

Cited by 14 publications

(4 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall dialysis complications in USPD at 30 days were reported as 4.5-5.7% in USPD, compared to 10.7-24% in USHD [40,42,43]. Another study reported lower composite rates of infection at 6 weeks [44]. Multiple studies also found USHD was an independent risk factor for dialysisrelated complications [40,42,45].…”

Section: Survival Rates and Patient Outcomes In Uspd Compared To Othe...mentioning

confidence: 99%

Urgent-Start Peritoneal Dialysis: Current State and Future Directions

Vogt,

Shah

2024

Kidney and Dialysis

View full text Add to dashboard Cite

Urgent-start peritoneal dialysis (USPD) is defined as peritoneal dialysis initiated within 14 days of catheter insertion. In this review, the authors describe the most recent data on USPD, including outcomes, complications, barriers to implementation, and areas for future research. Outcomes appear similar between catheter insertion techniques, so patient factors and institutional workflow should guide practice. Mechanical complications may occur at a higher rate in USPD, but it does not impact technique survival or mortality. Infectious complications appear unchanged in USPD, and there may be fewer complications compared to urgent-start hemodialysis. Barriers to implementation are multifactorial, including physician and staff unfamiliarity and lack of institutional support. A significant limitation within the field includes lack of uniform terminology and definitions.

show abstract

Section: Survival Rates and Patient Outcomes In Uspd Compared To Othe...mentioning

confidence: 99%

Urgent-Start Peritoneal Dialysis: Current State and Future Directions

Vogt,

Shah

2024

Kidney and Dialysis

View full text Add to dashboard Cite

show abstract

“…The pattern of dialysis initiation whether on PD or HD affects clinical outcomes, as unplanned start of dialysis has been linked to poorer outcomes compared with planned start of dialysis [ 38 ]. Of note, urgent-start PD strategies have been shown to be safe and associated with fewer complications in the first 6 weeks after dialysis initiation compared with urgent-start HD strategies [ 39 ]. In terms of mortality, some studies have demonstrated that HD provides better outcomes compared with PD [ 40 , 41 ].…”

Section: If Dialysis Is Chosen Which Modality To Select?mentioning

confidence: 99%

“…Supplementary data, Table S2 summarizes the main findings of the most relevant studies comparing PD with HD in elderly patients [ 39–43 , 45 , 49 , 50 , 53 , 55 ].…”

Section: If Dialysis Is Chosen Which Modality To Select?mentioning

confidence: 99%

Shared decision making in elderly patients with kidney failure

Kanbay,

Basile,

Battaglia

et al. 2023

Nephrology Dialysis Transplantation

View full text Add to dashboard Cite

‘Elderly’ is most commonly defined as an individual aged 65 years or older. However, this definition fails to account for the differences in genetics, lifestyle and overall health that contribute to significant heterogeneity among the elderly beyond chronological age. As the world population continues to age, the prevalence of chronic diseases, including chronic kidney disease (CKD), is increasing and CKD frequently progresses to kidney failure. Moreover, frailty represents a multidimensional clinical entity highly prevalent in this population, which needs to be adequately assessed to inform and support medical decisions. Selecting the optimal treatment pathway for the elderly and frail kidney failure population, be it hemodialysis, peritoneal dialysis, or conservative kidney management is complex, because of the presence of comorbidities associated with low survival rates and impaired quality of life. Management of these patients should involve a multidisciplinary approach including doctors from various specialties, nurses, psychologists, dieticians, and physiotherapists. Studies are mostly retrospective and observational, lacking adjustment for confounders or address selection and indication biases, making it difficult to use these data to guide treatment decisions. Throughout this review we discuss the difficulty of making a one-size-fits-all recommendation for the clinical needs of older patients with kidney failure. We advocate that a research agenda for optimization of the critical issues we present in this review be implemented. We recommend prospective studies that address these issues, and systematic reviews incorporating the complementary evidence of both observational and interventional studies. Furthermore, we strongly support a shared decision making process matching evidence with patient preferences to ensure that individualized choices are made regarding dialysis vs. conservative kidney management, dialysis modality, and optimal vascular access.

show abstract

“…The most common underlying factors that lead to CKD and USPD involved glomerulonephritis (37-58.5%), diabetic nephropathy (9-60%), and hypertensive nephropathy (7.3-9%) [43][44][45]. Comorbid conditions included diabetes mellitus (32.3-61%), hypertension (72.9-88%), cardiac vascular disease (21.9%), and heart failure (30.2-73%) [45][46][47].…”

Section: Underlying Comorbidities In Ckdmentioning

confidence: 99%

Urgent Implantation of Peritoneal Dialysis Catheter in Chronic Kidney Disease and Acute Kidney Injury—A Review

Cholerzyńska

Zasada

Michalak

et al. 2023

JCM

View full text Add to dashboard Cite

Acute kidney injury (AKI) and sudden exacerbation of chronic kidney disease (CKD) frequently necessitate urgent kidney replacement therapy (UKRT). Peritoneal dialysis (PD) is recognized as a viable modality for managing such patients. Urgent-start peritoneal dialysis (USPD) may be associated with an increased number of complications and is rarely utilized. This review examines recent literature investigating the clinical outcomes of USPD in CKD and AKI. Relevant research was identified through searches of the MEDLINE (PubMed), Scopus, Web of Science, and Google Scholar databases using MeSH terms and relevant keywords. Included studies focused on the emergency use of peritoneal dialysis in CKD or AKI and reported treatment outcomes. While no official recommendations exist for catheter implantation in USPD, the impact of the technique itself on outcomes was found to be less significant compared with the post-implantation factors. USPD represents a safe and effective treatment modality for AKI, although complications such as catheter malfunctions, leakage, and peritonitis were observed. Furthermore, USPD demonstrated efficacy in managing CKD, although it was associated with a higher incidence of complications compared to conventional-start peritoneal dialysis. Despite its cost-effectiveness, PD requires greater technical expertise from medical professionals. Close supervision and pre-planning for catheter insertion are essential for CKD patients. Whenever feasible, an urgent start should be avoided. Nevertheless, in emergency scenarios, USPD does remain a safe and efficient approach.

show abstract

Randomized Study of Urgent-Start Peritoneal Dialysis Versus Urgent-Start Temporary Hemodialysis in Patients Transitioning to Kidney Failure

Cited by 14 publications

References 43 publications

Urgent-Start Peritoneal Dialysis: Current State and Future Directions

Urgent-Start Peritoneal Dialysis: Current State and Future Directions

Shared decision making in elderly patients with kidney failure

Urgent Implantation of Peritoneal Dialysis Catheter in Chronic Kidney Disease and Acute Kidney Injury—A Review

Contact Info

Product

Resources

About