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Experiences with assisted peritoneal dialysis in China
Rong Xu1, Min Zhuo, Zhikai Yang
1Renal Division, Department of Medicine, Peking University First Hospital, Beijing, PR China.
Summary
Assisted peritoneal dialysis (PD) patients in China face similar peritonitis risks but higher mortality than self-care patients. Assisted PD remains a viable option for those with limited self-care capacity.
Area of Science:
- Nephrology
- Public Health
Background:
- Approximately 50% of patients undergoing peritoneal dialysis (PD) in China require assistance for bag exchange.
- Understanding the outcomes of assisted PD versus self-care PD is crucial for patient management.
Purpose of the Study:
- To compare the risks of peritonitis and mortality between assisted and self-care PD patients in China.
Main Methods:
- A prospective cohort study followed 313 incident PD patients.
- Patients were categorized into assisted (family or home assistant) and self-care groups.
- Outcomes included the first episode of peritonitis and all-cause mortality over an average follow-up of 44.5 months.
Main Results:
- Assisted PD patients had similar peritonitis-free time but a higher risk of mortality compared to self-care patients.
- Patients assisted by home assistants showed a higher mortality risk than those with family assistance, even after adjustments.
- Overall, assisted PD patients demonstrated comparable peritonitis risk but increased mortality.
Conclusions:
- Assisted PD is a suitable option for Chinese PD patients with impaired self-care abilities.
- This study supports the inclusion of patients needing assistance in PD programs in China.
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