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Published on: July 20, 2022
[Patients treated by peritoneal dialysis: a heterogeneous group of patients. Profile of PD patients]
Cécile Couchoud1, Christian Verger, Thomas Dervaux
1Registre REIN, Agence de la biomédecine, 1, avenue du Stade-de-France, 93212 Saint-Denis La Plaine cedex, France. cecile.couchoud@biomedecine.fr
Abstract:
Often, one gathers together under the denomination "peritoneal dialysis" patients with various clinical profiles. To quantify this "heterogeneity" we analysed the clinical characteristics of 32,975 patients treated by dialysis at 31 December 2008 in 22 French regions, participating to the REIN registry. This cross-sectional study confirms our initial hypothesis of a great heterogeneity of patients' profiles in peritoneal dialysis. As in hemodialysis, there is a gradation between modalities: from assisted continuous ambulatory peritoneal dialysis which concerns the frailty patients to autonomous automated peritoneal dialysis for more healthy patients, through assisted automated peritoneal dialysis and autonomous continuous ambulatory peritoneal dialysis.
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Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
