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Related Experiment Videos

Continuous ambulatory peritoneal dialysis: an option in the developing world?

R Zent1, J E Myers, D Donald

  • 1Department of Medicine, Groote Schuur Hospital, Cape Town, South Africa.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|January 1, 1994
PubMed
Summary

Biomedical, socioeconomic, and psychosocial factors predict peritonitis risk in continuous ambulatory peritoneal dialysis (CAPD) patients in developing countries. Optimizing patient selection for CAPD is crucial for successful outcomes.

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Area of Science:

  • Nephrology
  • Public Health
  • Medical Sociology

Background:

  • Continuous ambulatory peritoneal dialysis (CAPD) is a vital renal replacement therapy, particularly in developing countries.
  • Patient selection for CAPD requires careful consideration of various factors to ensure therapeutic success.
  • Peritonitis remains a significant complication impacting CAPD outcomes.

Purpose of the Study:

  • To identify biomedical, socioeconomic, and psychosocial predictors of therapeutic success in CAPD.
  • To optimize patient selection criteria for CAPD in a resource-limited setting.
  • To investigate factors associated with peritonitis and exit-site infections in CAPD patients.

Main Methods:

  • Retrospective cohort study design.
  • Involved 132 patients from a CAPD unit in a tertiary care teaching hospital (1987-1991).

Related Experiment Videos

  • Analyzed relationships between peritonitis/exit-site infections and biomedical, socioeconomic, and psychosocial data.

    • Main Results:

    • Mean survival time on CAPD was 17.3 months.
    • High peritonitis rates were observed, particularly in Black patients.
    • Multivariate analysis linked increased peritonitis to age, Black race, diabetes, and psychosocial factors. Socioeconomic factors also correlated with high peritonitis rates when race was excluded.

    Conclusions:

    • Biomedical, socioeconomic, and psychosocial variables are significantly associated with high peritonitis rates in CAPD.
    • These findings have critical implications for refining patient selection strategies for CAPD in developing countries.
    • No significant predictors were identified for exit-site infections.