Impact of Pre-Dialysis Care on Clinical Outcomes in Peritoneal Dialysis Patients

Background: Structured pre-dialysis care is associated with an increase in peritoneal dialysis (PD) utilization, but not with peritonitis risk, technical and patient survival. This study aimed at analyzing the impact of pre-dialysis care on these outcomes. Methods: All incident patients starting PD...

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Veröffentlicht in:American journal of nephrology 2016-01, Vol.43 (2), p.104-111
Hauptverfasser: Spigolon, Dandara N., de Moraes, Thyago P., Figueiredo, Ana E., Modesto, Ana Paula, Barretti, Pasqual, Bastos, Marcus Gomes, Barreto, Daniela V., Pecoits-Filho, Roberto
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Sprache:eng
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Zusammenfassung:Background: Structured pre-dialysis care is associated with an increase in peritoneal dialysis (PD) utilization, but not with peritonitis risk, technical and patient survival. This study aimed at analyzing the impact of pre-dialysis care on these outcomes. Methods: All incident patients starting PD between 2004 and 2011 in a Brazilian prospective cohort were included in this analysis. Patients were divided into 2 groups: early pre-dialysis care (90 days of follow-up by a nephrology team); and late pre-dialysis care (absent or less than 90 days follow-up). The socio-demographic, clinical and biochemical characteristics between the 2 groups were compared. Risk factors for the time to the first peritonitis episode, technique failure and mortality based on Cox proportional hazards models. Results: Four thousand one hundred seven patients were included. Patients with early pre-dialysis care presented differences in gender (female - 47.0 vs. 51.1%, p = 0.01); race (white - 63.8 vs. 71.7%, p < 0.01); education (
ISSN:0250-8095
1421-9670
DOI:10.1159/000444401