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Causes for Withdrawal in an Urban Peritoneal Dialysis Program
Joint Authors
Workeneh, Biruh
Guffey, Danielle
Minard, Charles G.
Mitch, William E.
Source
International Journal of Nephrology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Peritoneal dialysis (PD) is an underutilized dialysis modality in the United States, especially in urban areas with diverse patient populations.
Technique retention is a major concern of dialysis providers and might influence their approach to patients ready to begin dialysis therapy.
Methods.
Records from January 2009 to March 2014 were abstracted for demographic information, technique duration, and the reasons for withdrawal.
Results.
The median technique survival of the 128 incident patients during the study window was 781 days (2.1 years).
The principle reasons for PD withdrawal were repeated peritonitis (30%); catheter dysfunction (18%); ultrafiltration failure (16%); patient choice or lack of support (16%); or hernia, leak, or other surgical complications (6%); and a total of 6 patients died during this period.
Of the patients who did not expire and were not transplanted, most transferred to in-center hemodialysis and 8% transitioned to home-hemodialysis.
Conclusions.
Our findings suggest measures to ensure proper catheter placement and limiting infectious complications should be primary areas of focus in order to promote technique retention.
Lastly, more focused education about home-hemodialysis as an option may allow those on PD who are beginning to demonstrate signs of technique failure to stay on home therapy.
American Psychological Association (APA)
Workeneh, Biruh& Guffey, Danielle& Minard, Charles G.& Mitch, William E.. 2015. Causes for Withdrawal in an Urban Peritoneal Dialysis Program. International Journal of Nephrology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1066237
Modern Language Association (MLA)
Workeneh, Biruh…[et al.]. Causes for Withdrawal in an Urban Peritoneal Dialysis Program. International Journal of Nephrology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1066237
American Medical Association (AMA)
Workeneh, Biruh& Guffey, Danielle& Minard, Charles G.& Mitch, William E.. Causes for Withdrawal in an Urban Peritoneal Dialysis Program. International Journal of Nephrology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1066237
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1066237