Transfert en dialyse péritonéale après traitement par hémodialyse chronique

Lobbedez, Thierry; Crand, A.; Roy, F. Le; Landru, Isabelle; Quéré, Catherine; Ryckelynck, Jean-Philippe

doi:10.1016/j.nephro.2005.01.001

Cited by 15 publications

(8 citation statements)

References 13 publications

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“…On the other hand, ICHD technique failure requiring transfer to PD due to vascular access or cardiovascular issues (such as haemodynamic instability with HD) would represent a very different subset of older persons. In a French study looking at 25 patients transferring from chronic HD to PD in four dialysis centres over a 10‐year period, poor outcomes on PD were also noted in such persons who presented numerous comorbidities at the time of transfer to PD, of whom 28% and 52% had transferred to PD due to cardiovascular and vascular access problems, respectively 23 . Moreover, 48% had experienced urgent‐start HD prior to PD 23 .…”

Section: Discussionmentioning

confidence: 99%

“…In a French study looking at 25 patients transferring from chronic HD to PD in four dialysis centres over a 10‐year period, poor outcomes on PD were also noted in such persons who presented numerous comorbidities at the time of transfer to PD, of whom 28% and 52% had transferred to PD due to cardiovascular and vascular access problems, respectively 23 . Moreover, 48% had experienced urgent‐start HD prior to PD 23 . Previous studies have also shown that initiation of dialysis on HD followed by transfer to PD was associated with worse outcomes in terms of peritonitis, PD technique failure, residual kidney function decline and mortality 24–27 …”

Section: Discussionmentioning

confidence: 99%

“…fer to PD, of whom 28% and 52% had transferred to PD due to cardiovascular and vascular access problems, respectively. 23 Moreover, 48% had experienced urgent-start HD prior to PD. 23 Previous studies have also shown that initiation of dialysis on HD followed by transfer to PD was associated with worse outcomes in terms of peritonitis, PD technique failure, residual kidney function decline and mortality.…”

Section: Causes Of Death and Association With Individual Characteristicsmentioning

confidence: 99%

“…23 Moreover, 48% had experienced urgent-start HD prior to PD. 23 Previous studies have also shown that initiation of dialysis on HD followed by transfer to PD was associated with worse outcomes in terms of peritonitis, PD technique failure, residual kidney function decline and mortality. [24][25][26][27] Our study also showed that dialysis withdrawal accounted for around 40% of deaths in individuals aged 75 and older initiating dialysis.…”

Section: Causes Of Death and Association With Individual Characteristicsmentioning

confidence: 99%

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Dialysis modality utilization patterns and mortality in older persons initiating dialysis in Australia and New Zealand

et al. 2022

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Aim: The benefits of dialysis in the older population remain highly debated, particularly for certain dialysis modalities. This study aimed to explore the dialysis modality utilization patterns between in-centre haemodialysis (ICHD), peritoneal dialysis (PD) and home haemodialysis (HHD) and their association with outcomes in older persons. Methods: Older persons (≥75 years) initiating dialysis in Australia andNew Zealand from 1999 to 2018 reported to the Australia and New Zealand Dialysis and Transplant (ANZDATA) registry were included. The main aim of the study was to characterize dialysis modality utilization patterns and describe individual characteristics of each pattern. Relationships between identified patterns and survival, causes of death and withdrawal were examined as secondary analyses, where the pattern was considered as the exposure.Results: A total of 10 306 older persons initiated dialysis over the study period.Of these, 6776 (66%) and 1535 (15%) were exclusively treated by ICHD and PD, respectively, while 136 (1%) ever received HHD during their dialysis treatment course. The remainder received both ICHD and PD: 906 (9%) started dialysis on ICHD and 953 (9%) on PD. Different individual characteristics were seen across dialysis modality utilization patterns. Median survival time was 3.0 (95%CI 2.9-3.1) years. Differences in survival were seen across groups and varied depending on the time period following dialysis initiation. Dialysis withdrawal was an important cause of death and varied according to individual characteristics and utilization patterns. Conclusion:This study showed that dialysis modality utilization patterns in older persons are associated with mortality, independent of individual characteristics.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Causes Of Death and Association With Individual Characteristicsmentioning

confidence: 99%

Section: Causes Of Death and Association With Individual Characteristicsmentioning

confidence: 99%

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Dialysis modality utilization patterns and mortality in older persons initiating dialysis in Australia and New Zealand

et al. 2022

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“…Certains né phrologues recommandent le changement de technique de dialyse des patients de la DP vers l'HD aprè s 2 à 3 anné es, même lorsque tous les aspects du traitement sont satisfaisants [35]. Ce changement peut avoir un impact sur la survie [18,28,[36][37][38].…”

Section: Introductionunclassified