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Related Concept Videos

Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

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Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
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Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

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Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
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Peritoneal Dialysis III: Nursing Management01:25

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Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
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Hemodialysis II: Procedure and Complications01:24

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DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
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Hemodialysis III: Nursing Management01:25

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The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
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Dialysis01:27

Dialysis

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Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
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...
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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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Gender-Specific Differences in Peritoneal Dialysis.

Daniel Kitterer1, Stephan Segerer2, Niko Braun3

  • 1Department of Internal Medicine, Division of General Medicine and Nephrology, Robert-Bosch-Hospital, Stuttgart, Germany.

Kidney & Blood Pressure Research
|May 23, 2017
PubMed
Summary
This summary is machine-generated.

Female patients on peritoneal dialysis (PD) show better technique survival rates compared to men. Over three decades, deaths from cardiovascular events and PD-associated peritonitis have decreased for both genders.

Keywords:
DeathGenderGender differencePeritoneal dialysisTechnical failure

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Area of Science:

  • Nephrology
  • Renal Replacement Therapy
  • Peritoneal Dialysis

Background:

  • Gender-specific differences in renal replacement therapy are understudied.
  • Previous research has not extensively explored gender disparities in peritoneal dialysis (PD) patient outcomes.

Purpose of the Study:

  • To investigate and describe gender-specific differences in a large cohort of peritoneal dialysis (PD) patients.
  • To analyze technique survival rates and causes of death in relation to gender within the PD population.

Main Methods:

  • Retrospective analysis of clinical data from 745 patients initiating PD between 1979 and 2015.
  • Cox regression analysis was employed to assess the association between gender and technique failure.
  • Hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated to quantify risk.

Main Results:

  • Women were significantly younger at PD initiation (54 years) compared to men (58 years).
  • Technical survival rates were significantly better in women than in men (HR=0.662, P=0.005).
  • Cardiovascular events and PD-associated peritonitis decreased as causes of death over three decades for both genders.

Conclusions:

  • Female PD patients demonstrate superior technical survival rates over a three-decade period.
  • Significant reductions in mortality due to cardiovascular events and PD-associated peritonitis were observed in both genders over time.