从家庭转移到医院透析:对HHD,辅助PD和自主PD进行比较
Antoine Lanot1,2,3, Clémence Bechade1,2,3, Cécile Couchoud4
1Normandie Univ, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France.
Clinical kidney journal
|July 26, 2024
概括
家庭透析,包括腹膜透析 (PD) 和家庭血液透析 (HHD),为患者提供了好处. 在法国,辅助PD和HHD与自主PD相比显示了类似的技术生存率,这表明患者更适合辅助家庭透析.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 脏替代疗法治疗 脏替代疗法
- 公共卫生 公共卫生
背景情况:
- 腹膜透析 (PD) 和家庭血液透析 (HHD) 等家庭透析疗法提高了患者的生活质量和赋权.
- 家庭透析的低患病率部分是由于该技术的生存时间短.
研究的目的:
- 评估在接受自主PD,辅助PD或HHD的患者中转移到基于设施的血液透析 (HD) 的风险.
主要方法:
- 使用法国REIN注册 (2002-2019) 的回顾性研究.
- 通过HHD,护士辅助PD和自主PD模式将风险转移到设施的HD进行比较.
- 利用生存模型与倾向性得分 (PS) 匹配和不匹配的队列.
主要成果:
- 包括17,909名患者:628名HHD,10,214名自主PD,7067名辅助PD.
- 观察到5347个转移到设施的HD;5年转移率为32% (自主PD),23.3% (辅助PD) 和23.7% (HHD).
- 在与PS匹配的队列中,辅助PD和HHD与自主PD相比,在转移风险上没有显著差异.
结论:
- 与其他国家的发现不同,法国的数据显示自主PD,辅助PD和HHD之间的技术存活率没有差异.
- 这可能是由于护士协助的可用性和包括更广泛的患者受益于辅助PD.
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