Why Do Patients Switch from PD to HD?

In retrospective data from 5,224 DCI PD patients from 2010 to 2019 about 61% started with PD (PD-first), 18% switched from HD to PD in the first 90 days (PD-early), and 21% after 90 days (PD-late). Compared to PD-first patients, those who switched early or late had a higher risk of transfer to HD in the first 9 months. Additional risk factors included peritonitis, fewer home visits, lower serum albumin, lower residual kidney function, and lower PD clearance.

Read the abstract » | (added 2024-05-09)

Tags: PD first, PD early, PD late, Peritonitis, Serum Albumin, Residual Kidney Function, PD Clearance

Factors Linked with Time to First Peritonitis on PD

In a 5-year, 57 clinic, prospective randomized controlled trial in Europe, 33% of 671 participants had a bout of peritonitis. The factors independently linked with time to first peritonitis included older age, higher number of PD bags, low serum albumin, and higher body weight.

Read the abstract » | (added 2023-04-19)

Tags: Peritonitis, Age, PD Bags, Serum Albumin, Body Weight

Serum albumin at 1 Year Predicts Long-term CAPD Outcomes

Among 436 patients using CAPD and followed for at least a year (48.25 + 24.05 months), each 1 g/dL increase in serum albumin at 1 year after PD start reduced the risk of death by 8.7%.

Read the abstract » | (added 2022-12-19)

Tags: Peritoneal Dialysis , Serum Albumin, CAPD, Mortality