Relationship of Normalized Protein Catabolic Rate with Nutrition Status and Long-Term Survival in Peritoneal Dialysis Patients.

The normalized protein catabolic rate (nPCR) reflects daily dietary protein intake in stable dialysis patients. In peritoneal dialysis (PD) patients, reports about the importance of nPCR as marker of nutrition and outcome have been inconsistent. The objective of the present study was to investigate the relationships of nPCR with body composition parameters, micronutrient electrolytes, and long-term survival in PD patients.

Relationship between alkaline phosphatase and all-cause mortality in peritoneal dialysis patients.

Elevated levels of serum alkaline phosphatase (AlkPhos) have been reported to be associated with increased mortality risk in hemodialysis (HD) patients. We examined the association of serum AlkPhos with all-cause mortality in our PD patients. The study enrolled 90 PD patients beginning in 1995.

Dialysis vintage, body composition, and survival in peritoneal dialysis patients.

The relationship between dialysis vintage (length of time on dialysis), body composition, and survival has been reported in hemodialysis patients. In the present study, we examined the association ofdialysis vintage with body composition and survival in peritoneal dialysis (PD) patients. At enrollment, body composition in 65 PD patients was determined by bioelectrical impedance analysis.

Extracellular mass/body cell mass ratio is an independent predictor of survival in peritoneal dialysis patients.

Malnutrition is a strong predictor of mortality in peritoneal dialysis (PD) patients. Extracellular mass (ECM) contains all the metabolically inactive, whereas body cell mass (BCM) contains all the metabolically active, tissues of the body. ECM/BCM ratio is a highly sensitive index of malnutrition.

Pulmonary hypertension in peritoneal dialysis patients.

The information available in the literature regarding pulmonary hypertension (PH) in peritoneal dialysis (PD) patients is limited. The objective of the present study was to examine the prevalence and characteristics of PH in PD patients. We retrospectively collected the clinical profile, echocardiographic (ECHO) findings, and biochemical data for 36 PD patients for which ECHO findings were available.

Relationship of peritoneal transport rate and dialysis adequacy with inflammation in peritoneal dialysis patients.

Inflammation, dialysis adequacy, and peritoneal transport rate (PTR) influence clinical outcomes in peritoneal dialysis (PD) patients. The present study examined the relationship of C-reactive protein (CRP), a marker of inflammation, to PTR and residual renal function (RRF) in PD patients. We recorded the baseline dialysate-to-plasma creatinine (D/P Cr) of 210 PD patients starting in 1986.

Survival experience of peritoneal dialysis patients with human immunodeficiency virus: a 17-year retrospective study.

Human immunodeficiency virus (HIV)-related renal disease is the third-leading cause of end-stage renal disease (ESRD) among African Americans aged 20-64 years. The number of HIV-infected (HIV+) patients reaching ESRD will increase exponentially over the next decade. Because of significant improvements in therapy and management during the last ten years, survival of HIV+ patients has improved.

Association between C-reactive protein and clinical outcomes in peritoneal dialysis patients.

An elevated level of C-reactive protein (CRP), which is a marker of inflammation, is a risk factor for morbidity and mortality in the general population and in dialysis patients. Recently, the relationship between inflammation and nutrition status has received much attention. Serum prealbumin is a highly sensitive marker of nutrition and survival in dialysis patients.

Malnutrition and inflammation in peritoneal dialysis patients.

Background: Malnutrition, cardiovascular disease, and heightened inflammation are highly prevalent in dialysis patients, and major contributors to morbidity and mortality. We have investigated the inter-relationship between malnutrition and inflammation, and their impact on morbidity and mortality in peritoneal dialysis (PD) patients.

Method: We enrolled 63 PD patients beginning in November 2000, and measured C-reactive protein (CRP) and various nutritional markers, including prealbumin.

Relationship of bioelectrical impedance parameters to nutrition and survival in peritoneal dialysis patients.

Background: Malnutrition is highly prevalent in peritoneal dialysis (PD) patients and is associated with higher mortality in these patients. In this study, we have prospectively examined the relationship of bioimpedance indexes to the nutritional status and survival in PD patients.

Methods: We enrolled 48 PD patients beginning in November 2000.

Hemoglobin predicts long-term survival in dialysis patients: a 15-year single-center longitudinal study and a correlation trend between prealbumin and hemoglobin.

Background: Dialysis patients have much higher mortality rates than the general population. Anemia is a common complication of uremia and a major contributor to morbidity and mortality in dialysis patients. The benefits of anemia correction using recombinant human erythropoietin (rHuEPO) are well established.

Usefulness of bioelectrical impedance analysis in monitoring nutrition status and survival of peritoneal dialysis patients.

Malnutrition is highly prevalent in peritoneal dialysis (PD) patients and is associated with higher mortality. Lower serum levels of markers of nutrition--such as albumin, creatinine, prealbumin, and total cholesterol--are important risk factors in PD patients. Usefulness of bioimpedance analysis (BIA) in hemodialysis (HD) patients has been reported.