Self-assessment sheet submission rate predicts technique survival in patients initiating peritoneal dialysis
© 2022 Asian Pacific Society of Nephrology..
AIM: Patients play a crucial role in preventing peritoneal dialysis (PD)-related events, including peritonitis and fluid overload, as PD procedures are mainly carried out at home. We asked patients to submit a PD self-assessment sheet at each outpatient visit in our daily clinical practice and evaluated its usefulness for outcomes in patients initiating PD.
METHODS: This retrospective cohort study included patients who underwent PD catheter insertion between January 2008 and October 2018. The submission rate of a PD self-assessment sheet was calculated from medical records until PD cessation or study completion (October 2020). The association between the submission rate and technique survival was analysed.
RESULTS: Among the 105 recruited patients (78 men, 60.4 ± 12.2 years), 44 discontinued PD and transferred to haemodialysis during the study period. The follow-up was 52.3 (28.7-79.3) months, and the median submission rate was 78%. The log-rank test showed that technique survival was significantly better in patients with a submission rate ≥ 78% than those with a submission rate <78% (p = .006). The submission rate remained significantly associated with less technique failure (hazard ratio 0.88 per 10%, p = .002) by the Cox regression analysis adjusted for age, sex, Charlson comorbidity index, estimated glomerular filtration rate and geriatric nutritional risk index.
CONCLUSION: The submission rate of a PD self-assessment sheet is useful as a predictor of technique survival in patients initiating PD. Instruction that increases submission may improve technique survival in PD patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:27 |
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| Enthalten in: |
Nephrology (Carlton, Vic.) - 27(2022), 6 vom: 05. Juni, Seite 501-509 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kusahana, Ei [VerfasserIn] |
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| Links: |
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| Themen: |
Dialysis |
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| Anmerkungen: |
Date Completed 03.05.2022 Date Revised 03.05.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/nep.14029 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM33698488X |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 Asian Pacific Society of Nephrology. | ||
| 520 | |a AIM: Patients play a crucial role in preventing peritoneal dialysis (PD)-related events, including peritonitis and fluid overload, as PD procedures are mainly carried out at home. We asked patients to submit a PD self-assessment sheet at each outpatient visit in our daily clinical practice and evaluated its usefulness for outcomes in patients initiating PD | ||
| 520 | |a METHODS: This retrospective cohort study included patients who underwent PD catheter insertion between January 2008 and October 2018. The submission rate of a PD self-assessment sheet was calculated from medical records until PD cessation or study completion (October 2020). The association between the submission rate and technique survival was analysed | ||
| 520 | |a RESULTS: Among the 105 recruited patients (78 men, 60.4 ± 12.2 years), 44 discontinued PD and transferred to haemodialysis during the study period. The follow-up was 52.3 (28.7-79.3) months, and the median submission rate was 78%. The log-rank test showed that technique survival was significantly better in patients with a submission rate ≥ 78% than those with a submission rate <78% (p = .006). The submission rate remained significantly associated with less technique failure (hazard ratio 0.88 per 10%, p = .002) by the Cox regression analysis adjusted for age, sex, Charlson comorbidity index, estimated glomerular filtration rate and geriatric nutritional risk index | ||
| 520 | |a CONCLUSION: The submission rate of a PD self-assessment sheet is useful as a predictor of technique survival in patients initiating PD. Instruction that increases submission may improve technique survival in PD patients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a dialysis | |
| 650 | 4 | |a heart failure | |
| 650 | 4 | |a infections | |
| 650 | 4 | |a peritoneal dialysis | |
| 650 | 4 | |a peritonitis | |
| 700 | 1 | |a Uchiyama, Kiyotaka |e verfasserin |4 aut | |
| 700 | 1 | |a Yamaguchi, Nobuko |e verfasserin |4 aut | |
| 700 | 1 | |a Hirashima, Maiko |e verfasserin |4 aut | |
| 700 | 1 | |a Togashi, Tomoko |e verfasserin |4 aut | |
| 700 | 1 | |a Yamamoto, Yuriko |e verfasserin |4 aut | |
| 700 | 1 | |a Imai, Michiyo |e verfasserin |4 aut | |
| 700 | 1 | |a Ashida, Mayumi |e verfasserin |4 aut | |
| 700 | 1 | |a Yamamura, Keiko |e verfasserin |4 aut | |
| 700 | 1 | |a Nakayama, Takashin |e verfasserin |4 aut | |
| 700 | 1 | |a Yasuda, Itaru |e verfasserin |4 aut | |
| 700 | 1 | |a Morimoto, Kohkichi |e verfasserin |4 aut | |
| 700 | 1 | |a Washida, Naoki |e verfasserin |4 aut | |
| 700 | 1 | |a Itoh, Hiroshi |e verfasserin |4 aut | |
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