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Characteristics and Clinical Outcomes of End-Stage Renal Disease Patients on Peritoneal Dialysis for Over 15 Years: A Single-Center Experience

Authors
 Youn Kyung Kee  ;  Jung Tak Park  ;  Chang-Yun Yoon  ;  Hyoungnae Kim  ;  Seohyun Park  ;  Hae Ryong Yun  ;  Su-Young Jung  ;  Jong Hyun Jhee  ;  Hyung Jung Oh  ;  Seung Hyeok Han  ;  Tae-Hyun Yoo  ;  Shin-Wook Kang 
Citation
 Peritoneal Dialysis International, Vol.37(5) : 535-541, 2017 
Journal Title
 Peritoneal Dialysis International 
ISSN
 0896-8608 
Issue Date
2017
MeSH
Adult ; Cause of Death ; Female ; Follow-Up Studies ; Humans ; Kidney Failure, Chronic/mortality ; Kidney Failure, Chronic/therapy* ; Male ; Middle Aged ; Peritoneal Dialysis/methods* ; Retrospective Studies ; Time Factors ; Treatment Outcome ; Withholding Treatment/statistics & numerical data
Keywords
End-stage renal failure ; clinical outcomes ; long-term peritoneal dialysis
Abstract
BACKGROUND: Maintaining peritoneal dialysis (PD) for a long time is problematic owing to a number of factors. This study aimed to clarify the characteristics and examine the clinical outcomes of patients who received PD as a long-term dialysis modality. METHODS: All end-stage renal disease (ESRD) patients who initiated PD at Yonsei University Health System between 1987 and 2000 were screened. Patients who maintained PD for over 15 years were classified as the long-term PD group and those who were treated with PD for less than 5 years were included in the short-term PD group. Demographic and biochemical data and clinical outcomes were compared between the groups. Independent factors associated with long-term PD maintenance were ascertained using multivariate logistic regression analysis. RESULTS: Among 1,116 study patients, 87 (7.8%) were included in the long-term group and 293 (26.3%) were included in the short-term group. In the long-term group, the mean patient age at PD initiation was 39.6 ± 11.5 years, 35 patients (40.2%) were male, and the mean PD duration was 205.3 ± 32.7 months. Patients were younger, body weight was lower, the proportion of patients with diabetes or cardiovascular diseases was lower, and the proportion of low to low-average transporters was higher in the long-term group than in the short-term group (p < 0.001). Multiple logistic regression analysis revealed that age, body mass index (BMI), serum creatinine, type of PD solution, and diabetes were significant independent factors associated with long-term PD maintenance. CONCLUSION: Peritoneal dialysis can be considered as a long-term renal replacement therapy option, especially in non-diabetic, not overweight, and young ESRD patients.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/160819
DOI
10.3747/pdi.2016.00227
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
강신욱(Kang, Shin Wook) ; 김형래(Kim, Hyoung Rae) ; 박서현(Park, Seo Hyun) ; 박정탁(Park, Jung Tak) ; 유태현(Yoo, Tae Hyun) ; 윤해룡(Yun, Hae Ryong) ; 정수영(Jung, Su Young) ; 지종현(Jhee, Jong Hyun) ; 한승혁(Han, Seung Hyeok)
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Full Text
http://www.pdiconnect.com/content/37/5/535.long
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