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| http://dx.doi.org/10.3747/pdi.2016.00078 | DOI Listing |
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Comparison of survival outcomes in haemodialysis versus immediate-start peritoneal dialysis: A propensity-matched study.
Nephrology (Carlton)
January 2025
Division of Nephrology, Department of Internal Medicine, Konkuk University Medical Center, Seoul, Republic of Korea.
Aim: Recent reports suggest that immediate-start peritoneal dialysis (ISPD) initiated immediately after catheter insertion demonstrates better long-term outcomes. However, the survival rate of ISPD versus haemodialysis (HD) remains uncertain. This study aimed to compare survival rates between ISPD and HD using a matched-pair cohort.
View Article and Find Full Text PDFA predictive model of treatment effectiveness of refractory peritoneal dialysis-related peritonitis in patients with peritoneal dialysis: a single-center observational study in South China.
Clin Kidney J
December 2024
Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University; Key Laboratory of Nephrology, National Health Commission and Guangdong Province, Guangzhou, P.R. China.
Background: To prevent loss of peritoneal function caused by persistent abdominal inflammation, the guidelines recommend early extubation in patients with refractory peritoneal dialysis (PD)-associated peritonitis (rPDAP). In attempt to pinpoint high-risk patient cohorts that did not respond to treatment for refractory peritonitis, we created a model to predict the effectiveness of peritonitis treatment.
Methods: This observational cohort study included PD patients from 1 January 2011 to 31 December 2020.
Among the recent advancements in Peritoneal Dialysis, the guidelines on the prevention and treatment of peritonitis, published in March 2022 by the International Society for Peritoneal Dialysis (ISPD), are of particular importance. The ISPD periodically updates these guidelines, with the previous update dating back to 2016. Peritonitis, despite its decreased incidence, remains a significant challenge in PD as it continues to be a major cause of morbidity, mortality, and dropout from the modality.
View Article and Find Full Text PDFClinical guideline on adequacy and prescription of peritoneal dialysis.
Nefrologia (Engl Ed)
September 2024
Hospital Universitari Arnau de Vilanova, Lleida, Spain.
Article Synopsis
- The concept of adequacy in peritoneal dialysis has evolved from focusing mainly on specific goals like solute clearance to prioritizing the overall quality of life for patients.
- This document aims to provide updated recommendations regarding peritoneal dialysis adequacy, covering key areas such as residual kidney function and different types of dialysis methods.
- A systematic approach (GRADE) was employed to highlight the quality of evidence for recommendations, and the document references a recent guide by experts from the International Society of Peritoneal Dialysis for additional support.
Linking clinical manifestations and causative organisms may provide clues for the treatment of peritoneal dialysis-associated peritonitis.
BMC Nephrol
September 2024
Department of Nephrology, Peking University Third Hospital, 49 North Garden Rd, Haidian District, Beijing, 100191, P. R. China.
Introduction: Different initial manifestations of peritoneal dialysis-associated peritonitis (PDAP) may depend on the type of pathogenic organism. We investigated the association between the clinical characteristics of PDAP and susceptibility to vancomycin and investigated the possibility of using vancomycin monotherapy alone as an initial treatment regimen for some PDAP patients to avoid unnecessary antibiotic exposure and secondary infection.
Methods: Patients with culture-positive PDAP were retrospectively analyzed and divided into two groups: peritonitis with only cloudy effluent (PDAP-cloudy) or with cloudy effluent, abdominal pain and/or fever (PDAP-multi).
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