Clinical risk factors for peritoneal dialysis withdrawal at different dialysis duration
Background The duration of patients maintained on peritoneal dialysis (PD) varied. This study investigated the clinical risk factors for PD withdrawal at different dialysis duration.Methods Patients who initiated PD from 1994 to 2011 were recruited and followed for at least 10 years until 2021. Pati...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Renal Failure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2023.2274965 |
| _version_ | 1827233689521618944 |
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| author | Weizhen Xie Li Qin Jiaying Huang Aiping Gu Wei Fang Na Jiang Jiangzi Yuan |
| author_facet | Weizhen Xie Li Qin Jiaying Huang Aiping Gu Wei Fang Na Jiang Jiangzi Yuan |
| author_sort | Weizhen Xie |
| collection | DOAJ |
| description | Background The duration of patients maintained on peritoneal dialysis (PD) varied. This study investigated the clinical risk factors for PD withdrawal at different dialysis duration.Methods Patients who initiated PD from 1994 to 2011 were recruited and followed for at least 10 years until 2021. Patients were grouped into four groups according to dialysis duration or time on treatment (TOT) when withdrew PD.Results A cohort of 586 patients were enrolled (mean age of 54.9 years, median dialysis duration or TOT of 47.9 months). Patients who maintained PD for longer than 10 years were younger, with lower prevalence of diabetes, lower serum C-reactive protein (CRP) level and white blood cell (WBC) count, higher serum albumin and pre-albumin level, higher normalized protein catabolic rate (nPCR) and residual kidney function, and more common use of renin–angiotensin system inhibitors (RASi) at baseline (p < 0.05 for all). Peritonitis related death and ultrafiltration failure related HD transferring increased along with time on PD (p < 0.001). Old age, diabetes, low serum albumin, high WBC count, hypertensive nephropathy, and nonuse of RASi were associated with increased risk of non-transplantation related PD withdrawal (p < 0.05 for all). Low baseline CRP and use of RASi were independent predictors for long-term PD maintenance (p < 0.05 for all).Conclusions Long-term PD patients demonstrated young age, low prevalence of diabetes, better nutrition status, absence of inflammation, better residual kidney function, and higher proportion of RASi usage at baseline. Absence of inflammation and use of RASi were independently associated with long-term PD maintenance. |
| first_indexed | 2024-03-11T14:27:59Z |
| format | Article |
| id | doaj.art-338f7d186ac04a2e90d3b0bb655d2683 |
| institution | Directory Open Access Journal |
| issn | 0886-022X 1525-6049 |
| language | English |
| last_indexed | 2025-03-21T19:37:19Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj.art-338f7d186ac04a2e90d3b0bb655d26832024-06-03T10:02:14ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492023-12-0145210.1080/0886022X.2023.2274965Clinical risk factors for peritoneal dialysis withdrawal at different dialysis durationWeizhen Xie0Li Qin1Jiaying Huang2Aiping Gu3Wei Fang4Na Jiang5Jiangzi Yuan6Department of Nephrology, Molecular Cell Lab for Kidney Disease, Shanghai Peritoneal Dialysis Research Center, Ren Ji Hospital, Uremia Diagnosis and Treatment Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of ChinaDepartment of Nephrology, School of Medicine, Baoshan Site of Renji Hospital, Shanghai Jiaotong University, Shanghai, People’s Republic of ChinaDepartment of Nephrology, Molecular Cell Lab for Kidney Disease, Shanghai Peritoneal Dialysis Research Center, Ren Ji Hospital, Uremia Diagnosis and Treatment Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of ChinaDepartment of Nephrology, Molecular Cell Lab for Kidney Disease, Shanghai Peritoneal Dialysis Research Center, Ren Ji Hospital, Uremia Diagnosis and Treatment Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of ChinaDepartment of Nephrology, Molecular Cell Lab for Kidney Disease, Shanghai Peritoneal Dialysis Research Center, Ren Ji Hospital, Uremia Diagnosis and Treatment Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of ChinaDepartment of Nephrology, Molecular Cell Lab for Kidney Disease, Shanghai Peritoneal Dialysis Research Center, Ren Ji Hospital, Uremia Diagnosis and Treatment Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of ChinaDepartment of Nephrology, Molecular Cell Lab for Kidney Disease, Shanghai Peritoneal Dialysis Research Center, Ren Ji Hospital, Uremia Diagnosis and Treatment Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of ChinaBackground The duration of patients maintained on peritoneal dialysis (PD) varied. This study investigated the clinical risk factors for PD withdrawal at different dialysis duration.Methods Patients who initiated PD from 1994 to 2011 were recruited and followed for at least 10 years until 2021. Patients were grouped into four groups according to dialysis duration or time on treatment (TOT) when withdrew PD.Results A cohort of 586 patients were enrolled (mean age of 54.9 years, median dialysis duration or TOT of 47.9 months). Patients who maintained PD for longer than 10 years were younger, with lower prevalence of diabetes, lower serum C-reactive protein (CRP) level and white blood cell (WBC) count, higher serum albumin and pre-albumin level, higher normalized protein catabolic rate (nPCR) and residual kidney function, and more common use of renin–angiotensin system inhibitors (RASi) at baseline (p < 0.05 for all). Peritonitis related death and ultrafiltration failure related HD transferring increased along with time on PD (p < 0.001). Old age, diabetes, low serum albumin, high WBC count, hypertensive nephropathy, and nonuse of RASi were associated with increased risk of non-transplantation related PD withdrawal (p < 0.05 for all). Low baseline CRP and use of RASi were independent predictors for long-term PD maintenance (p < 0.05 for all).Conclusions Long-term PD patients demonstrated young age, low prevalence of diabetes, better nutrition status, absence of inflammation, better residual kidney function, and higher proportion of RASi usage at baseline. Absence of inflammation and use of RASi were independently associated with long-term PD maintenance.https://www.tandfonline.com/doi/10.1080/0886022X.2023.2274965Peritoneal dialysislong-term dialysistechnique failuremortality |
| spellingShingle | Weizhen Xie Li Qin Jiaying Huang Aiping Gu Wei Fang Na Jiang Jiangzi Yuan Clinical risk factors for peritoneal dialysis withdrawal at different dialysis duration Renal Failure Peritoneal dialysis long-term dialysis technique failure mortality |
| title | Clinical risk factors for peritoneal dialysis withdrawal at different dialysis duration |
| title_full | Clinical risk factors for peritoneal dialysis withdrawal at different dialysis duration |
| title_fullStr | Clinical risk factors for peritoneal dialysis withdrawal at different dialysis duration |
| title_full_unstemmed | Clinical risk factors for peritoneal dialysis withdrawal at different dialysis duration |
| title_short | Clinical risk factors for peritoneal dialysis withdrawal at different dialysis duration |
| title_sort | clinical risk factors for peritoneal dialysis withdrawal at different dialysis duration |
| topic | Peritoneal dialysis long-term dialysis technique failure mortality |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2023.2274965 |
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