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Peritoneal dialysis in diabetes patients
La Tunisie Medicale
|March 17, 2020
Summary
Peritoneal dialysis (PD) is a viable renal replacement therapy for diabetic patients. Effective management of diabetes and PD complications is key to improving patient survival and technique longevity.
Area of Science:
- Nephrology
- Diabetology
- Renal Replacement Therapy
Background:
- Peritoneal dialysis (PD) offers advantages and disadvantages as a renal replacement therapy (RRT) for end-stage kidney disease.
- Diabetic patients represent a significant population undergoing RRT.
Purpose of the Study:
- To assess the epidemiological, clinical, biological, and outcome characteristics of diabetic patients undergoing PD.
- To identify factors influencing overall survival and technique survival in this patient group.
Main Methods:
- Retrospective study of 90 diabetic patients on PD.
- Data collected from 1983 to 2016 at the Department of Nephrology and Internal Medicine A, Charles Nicolle Hospital of Tunis.
Main Results:
- The study included 90 diabetic patients (mean age 57 years, M/W ratio 1.3), with 84.44% having type 2 diabetes.
- Common complications included peritonitis (45.55%), decreased ultrafiltration (26.66%), and catheter displacement (20%).
- Overall 5-year survival was 66%, and technical survival was 28%. Cardiovascular events, type 2 diabetes with high peritoneal permeability, and elevated systolic blood pressure were significant factors affecting survival.
Conclusions:
- Peritoneal dialysis is a valuable RRT option for diabetic patients.
- Optimizing diabetes management and PD technique is crucial for enhancing patient survival and long-term treatment success.
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