Comparison of patient survival between hemodialysis and peritoneal dialysis in a single Chinese center

详细信息    查看全文

• 作者：Bei Wu (1)
  Mei Wang (1)
  Liangying Gan (1)
  Huiping Zhao (1)
  
• 关键词：Peritoneal dialysis ; Hemodialysis ; Survival rate ; Risk factors
• 刊名：International Urology and Nephrology
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：46
• 期：12
• 页码：2403-2407
• 全文大小：284 KB
• 参考文献：1. Yeates K, Zhu N, Vonesh E et al (2012) Hemodialysis and peritoneal dialysis are associated with similar outcomes for end-stage renal disease treatment in Canada. Nephrol Dial Transplant 27(9):3568-575 CrossRef
  2. Schaubel DE, Morrison HI, Fenton SS (1998) Comparing mortality rates on CAPD/CCPD and hemodialysis. The Canadian experience: fact or fiction? Perit Dial Int 18(5):478-84
  3. Rufino JM, Garcia C, Vega N et al (2011) Current peritoneal dialysis compared with haemodialysis: medium-term survival analysis of incident dialysis patients in the Canary Islands in recent years. Nefrologia 31(2):174-84
  4. Fenton SS, Schaubel DE, DesmelIles M et al (1997) Hemodialysis versus peritoneal dialysis: a comparison of adjnsted mortality rates. Am J Kidney Dis 30(3):334-42 CrossRef
  5. Termorshuizen F, Komvaar JC, Dekker FW et al (2003) Hemodialysis and peritoneal dialysis: comparison of adjusted mortality rates according to the duration of dialysis—analysis of the Netherlands Cooperative Study on the adequacy of Dialysis 2. J Am Soc Nephml 14(11):2851-860 CrossRef
  6. Jaar BG, Coresh J, Plantinga LC et al (2005) Comparing the risk for death with peritoneal dialysis and hemodialysis in a national cohort of patients with chronic kidney disease. Ann Intern Med 143(3):174-83 CrossRef
  7. Vonesh EF, Snyder JJ, Foley RN et al (2004) The differential impact of risk factors on mortality in hemodialysis and peritoneal dialysis. Kidney Int 66(6):2389-401 CrossRef
  8. Huang CC, Chent KF, Wu HD (2008) Survival analysis: comparing peritoneal dialysis and hemodialysis in Taiwan. Perit Dial Int 28(Suppl 3):S15–S20
  9. Matos JP, Almeida JR, Guinsburg A et al (2011) Assessment of a five–year survival on hemodialysis in Brazil: a chort of 3082 incident patients. J Bras Nefrol 33(4):436-41 CrossRef
  10. Sanabria M, Munoz J, Trillos C et al (2008) Dialysis out comes in Colombia(DOC)study: a comparison of patient survival on peritoneal dialysis vs hemodialysis in Colombia. Kidney Int Suppl 108:S165–S172 CrossRef
  11. Kao TW, Huang JW, Hung KY et al (2010) Life expectancy, expected years of life lost and survival of hemodialysis and peritoneal dialysis patients. J Nephrol 23(6):677-82
  12. Chan M, Kelly J, Matterham M et al (2012) Malnutrition (subjective global assessment) scores and serum albumin levels, but not body mass index values, at initiation of dialysis are independent predictors of mortality: a 10-year Clinical Cohort Study. J Ren Nutr 22(6):547-57 CrossRef
  13. Goodkin DA, Mapes DL, Held PJ (2001) The dialysis outcomes and practice patterns study (DOPPS): how can we improve the care of hemodialysis patients? Semin Dial 14(3):157-59 CrossRef
  14. Kalantar-Zadeh K, Abbott KC, Salahudeen AK et al (2005) Survival advantages of obesity in dialysis patients. Am J Clin Nutr 81(3):543-54
  15. De Mutsert R, Grootendorst DC, Boeschoten EW et al (2009) Is obesity associated with a survival advantage in patients starting peritoneal dialysis? Contrib Nephrol 163:124-31 CrossRef
  
• 作者单位：Bei Wu (1)
  Mei Wang (1)
  Liangying Gan (1)
  Huiping Zhao (1)
  
  1. Department of Nephrology, Peking University People’s Hospital, Beijing, 100044, China
  
• ISSN：1573-2584

文摘

Objective No study in China has so far investigated the difference in patient survival rates between hemodialysis (HD) and peritoneal dialysis (PD). Therefore, the aim of the present single-center follow-up study was to determine and compare the survival rates associated with HD and PD at a Chinese hospital. Methods Clinical data were analyzed for all adult patients (age >18?years) with chronic renal failure who dialysis between 2006 and 2010. Results The study included 216 patients, 140 of whom underwent PD and 76 of whom underwent HD. Compared to patients in the HD group, patients in the PD group were older (61?±?14 vs. 55?±?14?years, P?=?0.004) and had higher baseline blood uric acid levels (452?±?136 vs. 388?±?150?μmol/L, P?=?0.002) and lower baseline iPTH (224?±?260 vs. 305?±?267?pg/ml, P?=?0.036). Moreover, a higher number of PD patients had diabetes (40 vs. 27.6?%, P?=?0.056). The average follow-up time was 25?months in the PD group and 36?months in the HD group. The 1-, 2- and 3-year survival rates were 98.7, 93.2, and 85.5?%, respectively, in the HD group and 90.9, 81.5, and 73.8?%, respectively, in the PD group. In the first 3?years, HD was associated with better survival compared to the PD group. However, when adjusted for age, diabetes and BMI, there was no significant difference between the PD and HD group. Conclusion The mode of dialysis itself has no effect on the survival rate of ESRD patients on dialysis.