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Chronic peritoneal dialysis in paediatrics: experience of a national registry
E Verrina1, B Andreetta, S Bassi
1Ospedale San Lazzaro, Alba, Italy.
Insights
The Italian Registry of Paediatric Chronic Peritoneal Dialysis (CPD) tracked 70 children, showing good patient survival and reduced peritonitis rates over three years. This study offers a national overview of pediatric CPD in Italy.
Area of Science:
- Nephrology
- Pediatrics
- Public Health
Background:
- Chronic Peritoneal Dialysis (CPD) is a vital treatment for pediatric kidney failure.
- Limited national data exists on pediatric CPD outcomes in Italy.
- The Italian Registry of Paediatric Chronic Peritoneal Dialysis (CPD) was established to address this data gap.
Purpose of the Study:
- To present the initial 3-year results of the Italian Registry of Paediatric Chronic Peritoneal Dialysis (CPD).
- To provide a national perspective on pediatric CPD treatment and outcomes.
- To analyze catheter-related complications and peritonitis incidence.
Main Methods:
- Data collection from 7 to 11 pediatric nephrology centers in Italy from 1986-1988.
- Inclusion of patients under 15 years at dialysis initiation, followed until age 19.
- Analysis of clinical data, including 89 peritoneal catheters, dialysis-months, and complications.
Main Results:
- 70 pediatric patients were enrolled, representing 40.2%-43.6% of children on dialysis.
- Catheter-related complications occurred at a rate of 1:20.8 dialysis-months.
- Peritonitis incidence decreased from 1 episode/10.9 patient-months to 1 episode/19.8 patient-months.
- Actuarial catheter survival was 68.8% at 2 years.
- Patient survival was 92.5% at 3 years, with technique survival at 84%.
Conclusions:
- The Italian Registry provides valuable national data on pediatric CPD.
- CPD demonstrates favorable patient survival rates in children.
- Improvements in peritonitis rates and catheter management were observed.
Abstract:
The results of the first 3 years' collaboration of the Italian Registry of Paediatric Chronic Peritoneal Dialysis (CPD) (1986-1988) are presented. This Registry acquired data on the majority of the paediatric patients treated with CPD in Italy, thus providing a national picture in a field where few nationwide surveys are available. Patients of less than 15 years of age at the start of dialysis were enrolled and clinical data collected until the age of 19 years. The number of nephrological paediatric centres participating in the Registry increased from 7 in 1986 to 11 in 1988. The total number of patients on CPD was 70 and the percentage of dialysed children treated with CPD ranged from 40.2% to 43.6%. Data on 89 peritoneal catheters were collected: during 1417 dialysis-months 70 catheter-related complications were observed (1:20.8 dialysis-months); actuarial catheter survival was 92.7% at 6 months, 84.8% at 1 year and 68.8% at 2 years. the incidence of peritonitis changed from 1 episode every 10.9 patient-months in 1986 to 1 every 19.8 in 1988. Abdominal hernias were the other main clinical complication observed. The survival of patients was 92.5% at 3 years, while the technique survival at the same time was 84%.