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Long-term outcomes in children on chronic continuous ambulatory peritoneal dialysis: a retrospective cohort study from a developing country
- Source :
- Pediatric Nephrology. November, 2019, Vol. 34 Issue 11, p2389, 9 p.
- Publication Year :
- 2019
-
Abstract
- Background Peritoneal dialysis (PD) is the preferred modality of dialysis among children with end-stage renal disease. Methods To study the incidence of technique failure and survival among children with end-stage renal disease on continuous ambulatory peritoneal dialysis (CAPD), we included children younger than 18 years of age who commenced and continued PD for more than 3 months as their primary form of dialysis between 1st January 2005 and 31st December 2016. Kaplan-Meier survival analysis was applied to analyze the CAPD outcomes. Results A total of 68 Tenckhoff (58 double cuffs, and ten single cuffs) catheters were inserted in 66 patients (mean age 12.3 ± 3.91 years) during the study period. Of the 66 children, 31 (47%) experienced 45 episodes of peritonitis. The total duration on CAPD was 107.58 years with a peritonitis rate of 0.42 episodes per year. Overall, the mean patient survival was 41 (95% confidence interval (CI) 29-54) months, with mean patient survival of 72% at 12 months, declining to 30% at 36 months and then remaining stable until the end of follow-up (106 months). The overall mean technique survival was 55 (95% CI 40-69) months, with mean technique survival of 69% at 12 months, declining to 44% at 36 months and then remaining stable until the end of follow-up (106 months). Conclusion CAPD is a viable option for end-stage renal disease in children from developing countries with a lack of access to automated PD and pediatric hemodialysis centers.<br />Author(s): Narayan Prasad [sup.1] , Dharshan Rangaswamy [sup.2] , Manas Patel [sup.1] , Sanjeev Gulati [sup.3] , Dharmendra Bhadauria [sup.1] , Anupama Kaul [sup.1] , Amit Gupta [sup.1] Author Affiliations: [...]
Details
- Language :
- English
- ISSN :
- 0931041X
- Volume :
- 34
- Issue :
- 11
- Database :
- Gale General OneFile
- Journal :
- Pediatric Nephrology
- Publication Type :
- Academic Journal
- Accession number :
- edsgcl.602851648
- Full Text :
- https://doi.org/10.1007/s00467-019-04311-w