Browse > Article
http://dx.doi.org/10.3904/kjim.2016.31.1.106

Impact of dialysis modality on technique survival in end-stage renal disease patients  

Lee, Jong-Hak (Clinical Research Center for End Stage Renal Disease in Korea)
Park, Sun-Hee (Clinical Research Center for End Stage Renal Disease in Korea)
Lim, Jeong-Hoon (Clinical Research Center for End Stage Renal Disease in Korea)
Park, Young-Jae (Clinical Research Center for End Stage Renal Disease in Korea)
Kim, Sang Un (Clinical Research Center for End Stage Renal Disease in Korea)
Lee, Kyung-Hee (Clinical Research Center for End Stage Renal Disease in Korea)
Kim, Kyung-Hoon (Clinical Research Center for End Stage Renal Disease in Korea)
Park, Seung Chan (Clinical Research Center for End Stage Renal Disease in Korea)
Jung, Hee-Yeon (Clinical Research Center for End Stage Renal Disease in Korea)
Kwon, Owen (Clinical Research Center for End Stage Renal Disease in Korea)
Choi, Ji-Young (Clinical Research Center for End Stage Renal Disease in Korea)
Cho, Jang-Hee (Clinical Research Center for End Stage Renal Disease in Korea)
Kim, Chan-Duck (Clinical Research Center for End Stage Renal Disease in Korea)
Kim, Yong-Lim (Clinical Research Center for End Stage Renal Disease in Korea)
Publication Information
The Korean journal of internal medicine / v.31, no.1, 2016 , pp. 106-115 More about this Journal
Abstract
Background/Aims: This study analyzed the risk factors for technique survival in dialysis patients and compared technique survival rates between hemodialysis (HD) and peritoneal dialysis (PD) in a prospective cohort of Korean patients. Methods: A total of 1,042 patients undergoing dialysis from September 2008 to June 2011 were analyzed. The dialysis modality was defined as that used 90 days after commencing dialysis. Technique survival was compared between the two dialysis modalities, and the predictive risk factors were evaluated. Results: The dialysis modality was an independent risk factor predictive of technique survival. PD had a higher risk for technique failure than HD (hazard ratio [HR], 10.8; 95% confidence interval [CI], 1.9 to 62.0; p = 0.008) during a median follow-up of 11.0 months. In the PD group, a high body mass index (BMI) was an independent risk factor for technique failure (HR, 1.3; 95% CI, 1.0 to 1.8; p = 0.036). Peritonitis was the most common cause of PD technique failure. The difference in technique survival between PD and HD was more prominent in diabetic patients with a good nutritional status and in non-diabetic patients with a poor nutritional status. Conclusions: In a prospective cohort of Korean patients with end-stage renal disease, PD was associated with a higher risk of technique failure than HD. Diabetic patients with a good nutritional status and non-diabetic patients with a poor nutritional status, as well as patients with a higher BMI, had an inferior technique survival rate with PD compared to HD.
Keywords
Survival; Hemodialysis; Peritoneal dialysis; Body mass index; Diabetes;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Kwon HM, Kim CD, Cho JH, et al. Long term effects of dialysis adequacy, residual renal function, nutritional indices on CAPD patient outcome. Korean J Nephrol 2004;23:325-334.
2 Perl J, Bargman JM. The importance of residual kidney function for patients on dialysis: a critical review. Am J Kidney Dis 2009;53:1068-1081.   DOI
3 Wang AY, Lai KN. The importance of residual renal function in dialysis patients. Kidney Int 2006;69:1726-1732.   DOI
4 Choi JY, Jang HM, Park J, et al. Survival advantage of peritoneal dialysis relative to hemodialysis in the early period of incident dialysis patients: a nationwide prospective propensity-matched study in Korea. PLoS One 2013;8:e84257.   DOI
5 Klaric D, Knotek M. Long-term effects of peritonitis on peritoneal dialysis outcomes. Int Urol Nephrol 2013;45:519-525.   DOI
6 Sinnakirouchenan R, Holley JL. Peritoneal dialysis versus hemodialysis: risks, benefits, and access issues. Adv Chronic Kidney Dis 2011;18:428-432.   DOI
7 Lobbedez T, Boissinot L, Ficheux M, Castrale C, Ryckelynck JP. How to avoid technique failure in peritoneal dialysis patients? Contrib Nephrol 2012;178:53-57.
8 Kavanagh D, Prescott GJ, Mactier RA. Peritoneal dialysis-associated peritonitis in Scotland (1999-2002). Nephrol Dial Transplant 2004;19:2584-2591.   DOI
9 Seo HJ, Hyun SH, Kim GH, et al. Technique survival in peritoneal dialysis: a single-center experience. Korean J Med 2010;79:258-262.
10 Song YS, Jung H, Shim J, Oh C, Shin GT, Kim H. Survival analysis of Korean end-stage renal disease patients according to renal replacement therapy in a single center. J Korean Med Sci 2007;22:81-88.   DOI
11 Kim DK, Han SH, Lee JE, et al. The prognostic factors for long-term maintenance of CAPD: importance of early %lean body mass and peritonitis. Korean J Nephrol 2007;26:590-600.
12 Han SH, Lee JE, Kim DK, et al. Long-term clinical outcomes of peritoneal dialysis patients: single center experience from Korea. Perit Dial Int 2008;28 Suppl 3:S21-S26.
13 Yoon HB, Park HC, Lee H, et al. Treatment outcomes and prognostic factors for peritoneal dialysis patients based on single center experience over 18 years. Korean J Nephrol 2009;28:19-31.
14 Steiber A, Leon JB, Secker D, et al. Multicenter study of the validity and reliability of subjective global assessment in the hemodialysis population. J Ren Nutr 2007;17:336-342.   DOI
15 Jager KJ, Merkus MP, Boeschoten EW, et al. What happens to patients starting dialysis in the Netherlands? Neth J Med 2001;58:163-173.   DOI
16 Jaar BG, Coresh J, Plantinga LC, et al. Comparing the risk for death with peritoneal dialysis and hemodialysis in a national cohort of patients with chronic kidney disease. Ann Intern Med 2005;143:174-183.   DOI
17 Kang SH, Chung BH, Choi SR, et al. Comparison of clinical outcomes by different renal replacement therapy in patients with end-stage renal disease secondary to lupus nephritis. Korean J Intern Med 2011;26:60-67.   DOI
18 Li PK, Szeto CC, Piraino B, et al. Peritoneal dialysis-related infections recommendations: 2010 update. Perit Dial Int 2010;30:393-423.   DOI
19 Jaar BG, Plantinga LC, Crews DC, et al. Timing, causes, predictors and prognosis of switching from peritoneal dialysis to hemodialysis: a prospective study. BMC Nephrol 2009;10:3.   DOI
20 Brown F, Gulyani A, Dent H, Hurst K, McDonald S. Chapter 6 peritoneal dialysis [Internet]. North Terrace (AU): Australia & New Zealand Dialysis & Transplantation (ANZDATA), 2011 [cited 2015 Sep 20]. Available from: http://www.anzdata.org.au/anzdata/AnzdataReport/34thReport/2011c06_peritoneal_v1.8.pdf.
21 Unal A, Hayri Sipahioglu M, Kocyigit I, Elmali F, Tokgoz B, Oymak O. Does body mass index affect survival and technique failure in patients undergoing peritoneal dialysis? Pak J Med Sci 2014;30:41-44.
22 Fang W, Qian J, Lin A, et al. Comparison of peritoneal dialysis practice patterns and outcomes between a Canadian and a Chinese centre. Nephrol Dial Transplant 2008;23:4021-4028.   DOI
23 Remon-Rodriguez C, Quiros-Ganga P, Portoles-Perez J, et al. Results of the cooperative study of Spanish peritoneal dialysis registries: analysis of 12 years of follow-up. Nefrologia 2014;34:18-33.
24 Prasad N, Sinha A, Gupta A, et al. Effect of body mass index on outcomes of peritoneal dialysis patients in India. Perit Dial Int 2014;34:399-408.   DOI
25 Fang W, Yang X, Kothari J, et al. Patient and technique survival of diabetics on peritoneal dialysis: one-center's experience and review of the literature. Clin Nephrol 2008;69:193-200.   DOI
26 Zimmerman SW, Oxton LL, Bidwell D, Wakeen M. Longterm outcome of diabetic patients receiving peritoneal dialysis. Perit Dial Int 1996;16:63-68.
27 Sekercioglu N, Dimitriadis C, Pipili C, et al. Glycemic control and survival in peritoneal dialysis patients with diabetes mellitus. Int Urol Nephrol 2012;44:1861-1869.   DOI
28 Tzamaloukas AH, Yuan ZY, Murata GH, Balaskas E, Avasthi PS, Oreopoulos DG. Clinical associations of glycemic control in diabetics on CAPD. Adv Perit Dial 1993;9:291-294.
29 Huang JW, Lien YC, Wu HY, et al. Lean body mass predicts long-term survival in Chinese patients on peritoneal dialysis. PLoS One 2013;8:e54976.   DOI
30 Takatori Y, Akagi S, Sugiyama H, et al. Icodextrin increases technique survival rate in peritoneal dialysis patients with diabetic nephropathy by improving body fluid management: a randomized controlled trial. Clin J Am Soc Nephrol 2011;6:1337-1344.   DOI
31 Canada-USA (CANUSA) Peritoneal Dialysis Study Group. Adequacy of dialysis and nutrition in continuous peritoneal dialysis: association with clinical outcomes. J Am Soc Nephrol 1996;7:198-207.