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Excellent technique survival on home peritoneal dialysis: results of a regional program
1Nova Scotia-Prince Edward Island Regional Home Dialysis Program, Department of Medicine, Dalhousie University, Halifax, Canada.
Objective:
To examine peritoneal dialysis technique survival in our regional, continuous ambulatory peritoneal dialysis (CAPD) program.
Design:
Retrospective analysis.
Setting:
Tertiary care dialysis program at an academic medical center.
Patients:
155 patients representing all those in the peritoneal dialysis program between October 1, 1987 and October 1, 1990.
Outcome Measures:
The study analyzed patient and technique survival as well as the reasons for discontinuation of dialysis. In addition, the incidence and type of peritonitis and exit-site infection were also analyzed.
Results:
Three-year actuarial patient survival was 66% and three-year technique survival was 86%, with data censored for death and transplant patients. Fifty-seven percent of transfers to hemodialysis were due to peritonitis, usually fungal or multiorganism bacterial. Only 1 patient failed due to exit-site and tunnel infection, and 1 due to inadequate dialysis. The catheter removal rate was 0.04 per patient-year.
Conclusions:
Excellent CAPD technique survival can be achieved if exit-site and tunnel infection rates are low.