作者
Emily J See, David W Johnson, Carmel M Hawley, Elaine M Pascoe, Sunil V Badve, Neil Boudville, Philip A Clayton, Kamal Sud, Kevan R Polkinghorne, Monique Borlace, Yeoungjee Cho
发表日期
2018/8/1
期刊
American Journal of Kidney Diseases
卷号
72
期号
2
页码范围
188-197
出版商
WB Saunders
简介
Background
Concern regarding technique failure is a major barrier to increased uptake of peritoneal dialysis (PD), and the first year of therapy is a particularly vulnerable time.
Study Design
A cohort study using competing-risk regression analyses to identify the key risk factors and risk periods for early transfer to hemodialysis therapy or death in incident PD patients.
Setting & Participants
All adult patients who initiated PD therapy in Australia and New Zealand in 2000 through 2014.
Predictors
Patient demographics and comorbid conditions, duration of prior renal replacement therapy, timing of referral, PD modality, dialysis era, and center size.
Outcomes
Technique failure within the first year, defined as transfer to hemodialysis therapy for more than 30 days or death.
Results
Of 16,748 patients included in the study, 4,389 developed early technique failure. Factors associated with increased risk included age older than 70 …
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