Socio-Economic Status and Peritonitis in Australian Non-Indigenous Peritoneal Dialysis Patients

Tang, Wen; Grace, Blair; McDonald, S.; Hawley, Carmel M.; Badve, Sunil V.; Boudville, Neil; Brown, Fiona G.; Clayton, Philip; Johnson, David W.

doi:10.3747/pdi.2013.00004

Cited by 17 publications

(21 citation statements)

References 26 publications

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“…Black and indigenous races have been found to be significantly associated with increased risks of EOP in some studies [7,13], which is consistent with the general peritonitis literature [14][15][16][17][18]. However, an association between racial origin and an increased risk of EOP has not been shown by other studies [6,10].…”

Section: Racesupporting

confidence: 69%

“…Socioeconomic position and geographic remoteness have been variably associated with risk of PD peritonitis [16][17][18][19][20], partially attributed to impaired access to health care providers. Associations between socioeconomic positions and EOP have only been examined in a few studies [10,11], with no evidence to suggest a significant association.…”

Section: Socioeconomic Position and Remotenessmentioning

confidence: 99%

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Early Onset Peritoneal Dialysis-Related Peritonitis

Ng¹,

Johnson²,

Cho³

2017

J Clin Exp Nephrol

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Peritonitis is a serious and common complication of peritoneal dialysis (PD), representing the commonest cause of technique failure and a not infrequent cause of patient death. Early onset peritonitis, variously defined in the literature as peritonitis occurring within the first 3-20 months of PD, is increasingly being recognised as a discrete and important clinical problem with appreciably heightened risks of technique failure and death. The aim of this review is to provide a comprehensive up to date summary of current evidence surrounding early onset peritonitis and to discuss how to better manage the condition, including suggestions for future research directions.

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Section: Racesupporting

confidence: 69%

Section: Socioeconomic Position and Remotenessmentioning

confidence: 99%

Early Onset Peritoneal Dialysis-Related Peritonitis

Ng¹,

Johnson²,

Cho³

2017

J Clin Exp Nephrol

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“…A second UK study among Caucasian patients found poorer achievement of haemoglobin and phosphate targets at 1 year among disadvantaged patients, but no difference in blood pressure or haemodialysis dose . Peritoneal dialysis complications including peritonitis‐associated hospitalization and death have been shown higher in low SES Australians, but a study from Brazil failed to demonstrate an effect of SES on peritoneal dialysis technique or patient survival…”

Section: Discussionmentioning

confidence: 99%

Low socio‐economic status adversely effects dialysis survival in Australia

Krishnasamy

Gray

2018

Nephrology

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“…Kerschbaum et al [28] reported that oral administration of active vitamin D is associated with a lower risk of peritonitis and according to a recent meta-analysis, the use of vitamin D in long-term dialysis patients appears to be associated with lower risk of infection-related outcomes [29]. The effect of educational attainment on peritonitis risk has been discussed in several studies; lower educational level and lower socioeconomic status [3,6,17,14] are associated with higher peritonitis rates. One of our findings was at odds with previous studies in which advanced age is associated with peritonitis [30,31].…”

Section: Discussionmentioning

confidence: 99%

“…Considerable variations in the peritonitis rate, as well as peritonitis outcomes, have been observed across centers, regions, countries, and races [9][10][11][12]. Although not well-established, it has been reported that patient characteristics, practice patterns, and socioeconomic status play a role in these disparities [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Peritonitis: Episode Sequence, Microbiological Variation, Risk Factors and Clinical Outcomes in a North China Peritoneal Dialysis Center

Pei

Qureshi

et al. 2018

Kidney Blood Press Res

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Background/Aims: This study investigated peritonitis episodes with regard to time sequence, microbiological variation, factors associated with peritonitis and clinical outcomes in peritoneal dialysis (PD) patients. Methods: This single-center cohort study enrolled all incident patients who met the inclusion criteria at our center from June 1, 2012 to June 30, 2015 and who were followed until June, 2017. Clinical, biochemical characteristics and detailed data on peritonitis episodes, and hospitalizations were recorded. Results: A total of 218 episodes of peritonitis corresponding to a rate of 0.27 episode per patient-year were recorded. Gram positive bacteria, identified in 115 (52.8%) episodes, were the most common pathogens. The occurrence of enterococcus peritonitis increased from 15.1% of the first to 27.3% of the later episodes. Multivariate logistic regression showed that the presence of cardiovascular disease (CVD, odds ratio [OR] 2.177, 95% confidence interval [95%CI] 1.214–3.903, P=0.009), age≤ 55 (OR 2.282, 95%CI 1.062–4.906, P=0.035), non-independent operator (OR 0.440, 95%CI 0.206–0.938, P=0.034), lower values of potassium (OR=0.671,95%CI 0.472–0.954, P=0.026) and higher values of calcium-phosphate product (OR 1.410, 95%CI 1.065–1.868, P=0.017) were associated with peritonitis. Besides CVD (risk ratio [RR] 2.591, 95%CI 1.893–3.543, P< 0.001) and non-independent operator (RR 0.583, 95%CI 0.439–0.776, P< 0.001), a lower level of education (RR 0.641, 95%CI 0.487–0.842, P=0.001) was associated with higher peritonitis rates in log-linear analysis. Spearman analyses indicated that the time to the 1st episode was negatively related to the peritonitis rate (r=-0.291, P=0.001). Time-dependent Cox regression showed no association between the time to the 1st episode and patient survival (P=0.151). Patients with a high peritonitis rate (HPR) demonstrated worse technique survival (P< 0.001). Conclusion: The present study has revealed several center-based features and modifiable risk factors for peritonitis. The presence of CVD and the need for assistance with PD operation not only increased the odds of peritonitis but were also associated with more peritonitis episodes. Time to first peritonitis was related to the peritonitis rate but not associated with patient survival. Patients with HPR had worse technique survival.

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Socio-Economic Status and Peritonitis in Australian Non-Indigenous Peritoneal Dialysis Patients

Cited by 17 publications

References 26 publications

Early Onset Peritoneal Dialysis-Related Peritonitis

Early Onset Peritoneal Dialysis-Related Peritonitis

Low socio‐economic status adversely effects dialysis survival in Australia

Peritonitis: Episode Sequence, Microbiological Variation, Risk Factors and Clinical Outcomes in a North China Peritoneal Dialysis Center

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