The effect of rural and urban life on peritonitis rates in chronic peritoneal patients

BACKGROUND: It has been reported that living far from the peritoneal dialysis (PD) unit is a risk factor for peritonitis. Considering that PD units are urban located; the question of whether living in a rural area compared to an urban area is a risk factor for peritonitis has arisen.

METHODS: From March 2010 to August 2020, 335 episodes of peritonitis in 202 PD patients followed in a single center were evaluated retrospectively. People living in areas with a population <1000 were defined as living in rural areas regardless of their distance from the PD center. Cox regression analysis was used to identify independent factors associated with peritonitis.

RESULTS: A total of 202 PD patients were followed during 791 patient-years (mean follow-up of 3.9 years per patient). Total patients had 335 episodes of peritonitis and the rate of peritonitis was 0.42 episodes per year (episodes/patient-year). Cox regression analysis revealed that living environment (urban vs. rural) was not a risk factor for peritonitis (p = 0.57).

CONCLUSIONS: In Turkey, we report that living in a rural area in our region is not a risk factor for peritonitis. It is not the right approach for both the physician and the patient to be reluctant in the choice of PD due to the concern of peritonitis in rural areas.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:45

Enthalten in:

Renal failure - 45(2023), 1 vom: 10. Dez., Seite 2163504

Sprache:

Englisch

Beteiligte Personen:

Çankaya, Erdem [VerfasserIn]
Altunok, Murat [VerfasserIn]
Yağanoğlu, Aycan Mutlu [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Peritoneal dialysis
Peritonitis rate
Rural area
Urban area

Anmerkungen:

Date Completed 17.01.2023

Date Revised 20.01.2023

published: Print

Citation Status MEDLINE

doi:

10.1080/0886022X.2022.2163504

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM351559558