Multicentre registry analysis of incremental peritoneal dialysis incidence and associations with patient outcomes
Rattachement africain : au, nz, ca. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: Incremental peritoneal dialysis (PD) is increasingly advocated to reduce treatment burden and costs, with potential to better preserve residual kidney function. Global prevalence of incremental PD use is unknown and use in Australia and New Zealand has not been reported. Methods: Binational registry analysis including incident adult PD patients in Australia and New Zealand (2007–2017), examining incidence of and outcomes associated with incremental PD (first recorded PD exchange volume <42 L/week (incremental) vs. ≥42 L/week (standard)). Results: Incremental PD use significantly increased from 2.7% of all incident PD in 2007 to 11.1% in 2017 (mean increase 0.84%/year). Duration of incremental PD use was 1 year or less in 67% of cases. Male sex, Aboriginal and Torres Strait Islander (ATSI) or Māori ethnicities, age 45–59 years, medical comorbidities or treatment at a centre with low use of automated PD or icodextrin was associated with lower incidence of incremental PD use. Low body mass index and higher estimated glomerular filtration rate was associated with higher incidence. After accounting for patient and centre variables, commencing PD with an incremental prescription was associated with reduced peritonitis risk (adjusted hazard ratio 0.73, 95% confidence interval (CI) 0.61–0.86).When kidney transplantation and death were considered as competing risks, the association between incremental PD and peritonitis was not significant (sub-hazard ratio [SHR] 0.91, 95%CI 0.71–1.17, p = 0.5), however cumulative incidence of 30-day transfer to haemodialysis was lower in those receiving incremental PD (SHR 0.73, 95%CI 0.56–0.94, p = 0.01). There was no association between incremental PD and death. Conclusions: Incremental PD use is increasing in Australia and New Zealand and is not associated with patient harm.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Multicentre registry analysis of incremental peritoneal dialysis incidence and associations with patient outcomes
- Date Crossref
- 01/09/2023
- Éditeur
- SAGE Publications
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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The University of Queensland pays non établi dans la noticeUniversité ou école supérieure
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Sunshine Coast University Hospital Department of Nephrology pays non établi dans la noticeÉtablissement de santé
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Translational Research Institute pays non établi dans la noticeStructure de recherche
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Princess Alexandra Hospital Department of Nephrology pays non établi dans la noticeÉtablissement de santé
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Kidney Health Australia pays non établi dans la noticeOrganisation à but non lucratif
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UNSW Sydney pays non établi dans la noticeUniversité ou école supérieure
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Ingham Institute Nursing and Midwifery Research Alliance pays non établi dans la noticeOrganisation à but non lucratif
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South Western Sydney Local Health District pays non établi dans la noticeOrganisme public
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Western Sydney University NICM Health Research Institute pays non établi dans la noticeUniversité ou école supérieure
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The Royal Melbourne Hospital Department of Nephrology pays non établi dans la noticeOrganisme public
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University of Tasmania pays non établi dans la noticeUniversité ou école supérieure
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Royal Hobart Hospital Renal Unit pays non établi dans la noticeÉtablissement de santé
The University of Queensland, Department of Nephrology — Sunshine Coast University Hospital et Translational Research Institute, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.