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Chronic peritoneal dialysis in Turkish children: a multicenter study
Sevcan A Bakkaloglu1, Mesiha Ekim, Lale Sever
1Department of Pediatric Nephrology, Gazi University School of Medicine, Besevler, 06500, Ankara, Turkey. sevcan@gazi.edu.tr
Pediatric Nephrology (Berlin, Germany)
|February 18, 2005
Summary
Pediatric chronic peritoneal dialysis (CPD) in Turkey shows lower survival rates, especially in infants. Reflux nephropathy remains a primary cause of kidney failure, necessitating improved treatment strategies for children on CPD.
Area of Science:
- Pediatric Nephrology
- Renal Replacement Therapy
- Public Health
Background:
- Chronic peritoneal dialysis (CPD) has been used for pediatric patients in Turkey since 1989.
- Establishing a pediatric registry for CPD is crucial for data collection and analysis.
Purpose of the Study:
- To summarize the experience with CPD in Turkish pediatric centers.
- To establish a pediatric registry data system for CPD patients in Turkey.
Main Methods:
- A retrospective study analyzing data from 514 pediatric CPD patients (1989-2002) across 12 centers.
- Data collected via standard questionnaires, including demographics, dialysis modality, and outcomes.
Main Results:
- Reflux nephropathy was the most common cause of renal failure (18.1%).
- Continuous ambulatory peritoneal dialysis (CAPD) was the predominant initial modality.
- Five-year patient and technique survival rates were 70% and 69%, respectively, with significantly lower survival in the 0-24 month age group.
Conclusions:
- CPD in Turkish children is characterized by a high incidence of VUR as a cause of ESRD and lower survival rates compared to older children.
- There is a notable preference for CAPD over APD, contrary to recommendations.
- Urgent efforts are needed to improve outcomes and address the high VUR incidence in pediatric ESRD.