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Updated: Mar 8, 2026

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Published on: October 27, 2021
Outcomes of PD Patients at 6 Months
William Hoffman1, Heena Sheth2, Filitsa Bender2
1University of Pittsburgh School of Medicine, Renal Electrolyte Division, Pittsburgh, PA, USA hoffmanw@upmc.edu.
Insights
This study evaluated early outcomes for patients starting peritoneal dialysis (PD). Experienced programs focusing on quality care show promising 6-month results for incident PD patients.
Area of Science:
- Nephrology
- Renal Replacement Therapy
Background:
- The number of patients undergoing peritoneal dialysis (PD) has increased, raising concerns about initial treatment effectiveness.
- Quality of care in experienced programs is crucial for managing PD patient outcomes.
Purpose of the Study:
- To assess the 6-month outcomes for patients initiating peritoneal dialysis in a program with a dedicated focus on high-quality care.
- To identify factors influencing early outcomes in incident PD patients.
Main Methods:
- Analysis of a longitudinal registry of incident PD patients from 1991 to 2013, with follow-up to 2014.
- Collection of baseline demographic and clinical data, including age, gender, race, diabetes mellitus (DM), Charlson comorbidity index (CCI), and albumin.
- Tracking of key outcomes such as exit-site infection (ESI), peritonitis, hospitalizations, and reasons for PD cessation using multivariate analysis.
Main Results:
- The study reports on the initial 6-month outcomes for a cohort of incident peritoneal dialysis patients.
- Key clinical indicators and complications were systematically recorded and analyzed.
Conclusions:
- Experienced peritoneal dialysis programs emphasizing quality care can achieve favorable early outcomes for incident patients.
- Further research should explore long-term outcomes and specific interventions to optimize PD therapy.
Abstract:
The peritoneal dialysis (PD) patient population has grown rapidly in the past few years with concern over poor early outcomes. We report 6-month outcomes of incident PD patients in an experienced program with a strong focus on quality care. We analyzed data from an Institutional Review Board (IRB)- approved registry of all incident PD patients from January 1, 1991, to December 31, 2013, with follow-up to June 30, 2014. Time at risk began on the first day of training. Age, gender, race, diabetes mellitus (DM), Charlson comorbidity index (CCI), and albumin were collected at PD start. Exit-site infection (ESI), peritonitis, hospitalizations, and reasons for stopping PD were recorded. Multivariate analysis was done to examine outcomes.
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