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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
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Causes for Withdrawal in an Urban Peritoneal Dialysis Program.
Biruh Workeneh1, Danielle Guffey2, Charles G Minard2
1Division of Nephrology, Baylor College of Medicine, Houston, TX 77030, USA.
International Journal of Nephrology
|June 12, 2015
Summary
Peritoneal dialysis (PD) technique survival averaged 2.1 years, with infections and catheter issues being primary reasons for withdrawal. Improving PD care and education on home hemodialysis can enhance patient retention on home therapies.
Area of Science:
- Nephrology
- Renal Replacement Therapy
Background:
- Peritoneal dialysis (PD) is underutilized in the U.S., particularly in urban settings.
- Technique retention is a significant concern for dialysis providers.
Purpose of the Study:
- To analyze PD technique survival and identify reasons for withdrawal.
- To inform strategies for improving PD patient retention.
Main Methods:
- Retrospective review of 128 incident PD patients from January 2009 to March 2014.
- Data abstracted included demographics, technique duration, and withdrawal reasons.
Main Results:
- Median PD technique survival was 781 days (2.1 years).
- Primary withdrawal reasons: peritonitis (30%), catheter dysfunction (18%), ultrafiltration failure (16%), patient choice/support (16%), surgical complications (6%).
- Most patients transferred to in-center hemodialysis; 8% transitioned to home hemodialysis.
Conclusions:
- Focusing on proper catheter placement and reducing infectious complications is crucial for PD technique retention.
- Enhanced education on home hemodialysis may help retain patients experiencing PD technique failure.
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