|EXPERIENCES WITH ASSISTED PERITONEAL DIALYSIS IN CHINA|
|Xu, Rong1; Zhuo, Min1; Yang, Zhikai1; Dong, Jie1|
|关键词||Assisted Peritoneal Dialysis Peritonitis Mortality|
|刊名||PERITONEAL DIALYSIS INTERNATIONAL|
|WOS标题词||Science & Technology|
|类目[WOS]||Urology & Nephrology|
|研究领域[WOS]||Urology & Nephrology|
|关键词[WOS]||ELDERLY-PATIENTS ; UNITED-STATES ; DISEASE ; OCTOGENARIANS ; PREVENTION ; MORTALITY ; MODALITY ; REGISTRY ; PATIENT ; FAMILY|
Objective: About half the patients on peritoneal dialysis (PD) in China need to be assisted by family members or home assistants. We explored whether these patients have a higher risk for peritonitis and death compared with self-care PD patients.
Methods: We prospectively followed 313 incident PD patients until death or censoring. This cohort was divided into assisted and self-care PD groups according to the independence of bag exchange. Data on baseline demographics, Charlson comorbidity index, biochemistry, and residual renal function were recorded during the first 3 - 6 months. The outcome variables were first episode of peritonitis and all-cause mortality.
Results: Of the 313 patients in this cohort study, 122 needed assistance in performing bag exchanges (86 from a family member, 36 from a home assistant); the remaining 191 patients did not need assistance. During a follow-up period averaging 44.5 months, 122 patients developed a first episode of peritonitis, and 135 patients died. Compared with patients having a family assistant, those with a home assistant had similar peritonitis-free and survival times, but a higher risk of mortality after adjustments for variables such as age, sex, Charlson comorbidity score, hemoglobin, serum albumin, and residual renal function. Furthermore, compared with self-care patients, assisted patients overall had a similar peritonitis-free time, but a higher risk of mortality, even after adjusting for covariates.
Conclusions: Based on our single-center experience in China, we conclude that assisted PD is a good option for patients with poor self-care ability. This result provides evidence for recruiting patients who need assistance to PD programs in China.
|作者单位||1.Peking Univ, Inst Nephrol, Beijing 100034, Peoples R China|
2.Minist Hlth China, Key Lab Renal Dis, Beijing, Peoples R China
3.Peking Univ, Hosp 1, Div Renal, Dept Med, Beijing 100034, Peoples R China
|Xu, Rong,Zhuo, Min,Yang, Zhikai,et al. EXPERIENCES WITH ASSISTED PERITONEAL DIALYSIS IN CHINA[J]. PERITONEAL DIALYSIS INTERNATIONAL,2012,32(1):94-101.|
|APA||Xu, Rong,Zhuo, Min,Yang, Zhikai,&Dong, Jie.(2012).EXPERIENCES WITH ASSISTED PERITONEAL DIALYSIS IN CHINA.PERITONEAL DIALYSIS INTERNATIONAL,32(1),94-101.|
|MLA||Xu, Rong,et al."EXPERIENCES WITH ASSISTED PERITONEAL DIALYSIS IN CHINA".PERITONEAL DIALYSIS INTERNATIONAL 32.1(2012):94-101.|