Early failure in patients starting peritoneal dialysis: a competing risks approach.

@article{Bchade2014EarlyFI,
  title={Early failure in patients starting peritoneal dialysis: a competing risks approach.},
  author={Cl{\'e}mence B{\'e}chade and Lydia Guittet and David W Evans and Christian Verger and Jean Philippe Ryckelynck and Thierry Lobbedez},
  journal={Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association},
  year={2014},
  volume={29 11},
  pages={
          2127-35
        }
}
  • C. Béchade, L. Guittet, +3 authors T. Lobbedez
  • Published 1 November 2014
  • Medicine, Biology
  • Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
BACKGROUND Technical failure is more likely to occur in the first 6 months of peritoneal dialysis (PD). This study was carried out to identify risk factors for early transfer from PD to haemodialysis (HD) in a country where assisted PD is available. METHODS All patients from the French Language Peritoneal Dialysis Registry (RDPLF) who started PD between 1 January 2002 and 31 December 2010 were included. Time to transfer, death and transplantation during the first 6 months on PD were analysed… 
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41 Citations
Highly Influential Citations
1
Background Citations
11
Methods Citations
4
Results Citations
2

41 Citations

Citation Type

Citation Type

Technique failure in peritoneal dialysis: Modifiable causes and patient-specific risk factors.
TLDR
Infections, leakage and catheter problems were important modifiable causes for technique failure in a large Dutch cohort, and future studies should focus on infection prevention andCatheter access to improve technique survival.
Time-dependent incidence rates and risk factors for technique failure in patients on peritoneal dialysis under the Thai PD First policy.
TLDR
The incidence of HDT increased with TOT, and the risks for HDT changed over time on PD, while patients with universal coverage were transferred to HD less frequently than those with other health schemes.
Very early withdrawal from treatment in patients starting peritoneal dialysis
TLDR
Death was the primary reason for very early withdrawal from peritoneal dialysis patients and risk factors were older in age, had higher systolic blood pressure, lower hemoglobin, lower high-density lipoprotein cholesterol and lower residual urine volume.
Estimation of the Center Effect on Early Peritoneal Dialysis Failure: A Multilevel Modelling Approach
TLDR
Investigating the center effect on the risk of peritoneal dialysis failure within the first 6 months of therapy using a multilevel approach found center experience is associated with a lower risk of transfer to hemodialysis.
Trends in Peritoneal Dialysis Technique Survival, Death, and Transfer to Hemodialysis: A Decade of Data from the RDPLF
TLDR
Rates of the composite end point of either death or transfer toHD, death, and transfer to HD have decreased in recent decades, mainly the result of a significant decline in infection-related transfers.
Risk Factors for Early-Onset Peritonitis in Southern Chinese Peritoneal Dialysis Patients
TLDR
Higher body mass index (BMI), hypoalbuminemia, and catheter exit-site infection were the risk factors associated with early-onset peritonitis in PD patients.
Peritoneal Dialysis Modality Failure in a Middle-Income Country: A Retrospective Cohort Study
Risk Predictors and Causes of Technique Failure Within the First Year of Peritoneal Dialysis: An Australia and New Zealand Dialysis and Transplant Registry (ANZDATA) Study.
TLDR
Several modifiable and nonmodifiable factors are associated with early technique failure in PD, and targeted interventions should be considered in high-risk patients to avoid the consequences of an unplanned transfer to hemodialysis therapy or death.
Technique failure in Korean incident peritoneal dialysis patients: a national population-based study
Peritoneal dialysis technique survival at Tygerberg Hospital in Cape Town, South Africa
TLDR
In patients on PD, peritonitis, increased age and Black ethnicity were important factors associated with the development of technique failure, and concerted efforts are required to reducePeritonitis rates at the centre as this is the leading cause of techniqueFailure.
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References

SHOWING 1-10 OF 31 REFERENCES
TIME-DEPENDENT REASONS FOR PERITONEAL DIALYSIS TECHNIQUE FAILURE AND MORTALITY
TLDR
The incidence of PD technique failure is at its highest during the earliest months after treatment initiation and decreases later due to fewer catheter and abdominal complications as well as less influence of psychosocial factors.
Contribution of Early Failure to Outcome on Peritoneal Dialysis
TLDR
The contribution of early failure to outcome on PD is important, as one third of all PD failures and 40% of all technique failures may occur within the first 6 months, as shown in this study.
Effect of previously failed kidney transplantation on peritoneal dialysis outcomes in the Australian and New Zealand patient populations.
  • S. Badve, C. Hawley, +4 authors David W. Johnson
  • Medicine
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • 2006
TLDR
Patients commencing peritoneal dialysis after renal allograft failure experienced outcomes comparable with those with failed native kidneys, and PD appears to be a viable option for patients with failed kidney allografteds.
Is assisted peritoneal dialysis associated with technique survival when competing events are considered?
TLDR
Compared with patients undergoing self-care PD, those with assisted PD had a lower risk for transfer to hemodialysis, a higher risk for death, and a lowerrisk for transplantation.
Therapy outcome in peritoneal dialysis patients transferred from haemodialysis.
  • T. Liberek, M. Renke, +6 authors B. Rutkowski
  • Medicine, Biology
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • 2009
BACKGROUND Haemodialysis (HD) and peritoneal dialysis (PD) should be regarded as complementary methods of renal replacement therapy. Approximately 10-20% of patients on PD are transferred annually to…
Timing, causes, predictors and prognosis of switching from peritoneal dialysis to hemodialysis: a prospective study
TLDR
Several patient characteristics were associated with the risk of switching from PD to HD, however, there was no survival difference between switchers and non-switchers, reassuring providers and patients that PD technique failure is not necessarily associated with poor prognosis.
Initial survival advantage of peritoneal dialysis relative to haemodialysis.
  • J. Heaf, H. Løkkegaard, M. Madsen
  • Medicine, Biology
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • 2002
TLDR
These results show a survival advantage for PD during the first 2 years of dialysis treatment, which lends credence to the "integrative care" approach to uraemia, where patients are started on PD and transferred to HD when PD related mortality increases.
Technique Failure and Center Size in a Large Cohort of Peritoneal Dialysis Patients in a Defined Geographic Area
Background Hemodialysis (HD) and peritoneal dialysis (PD) are both viable options for renal replacement therapy. Technique failure has been shown to be a major problem in PD therapy. Objective To…
Patient-related and centre-related factors influencing technique survival of peritoneal dialysis in The Netherlands.
BACKGROUND Although technique failure occurs relatively frequently in peritoneal dialysis (PD), few data have been published on differences in technique failure between centres. METHODS Using data…
Is Transition Between Peritoneal Dialysis and Hemodialysis Really a Gradual Process?
TLDR
The transition period between PD and hemodialysis is described and unplanned HD start is a common problem in patients transferred from PD, and further studies are needed to improve the rate of planned HD start.
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