PMID- 23284075
OWN - NLM
STAT- MEDLINE
DCOM- 20140313
LR  - 20211021
IS  - 1718-4304 (Electronic)
IS  - 0896-8608 (Print)
IS  - 0896-8608 (Linking)
VI  - 33
IP  - 4
DP  - 2013 Jul-Aug
TI  - Is transition between peritoneal dialysis and hemodialysis really a gradual 
      process?
PG  - 391-7
LID - 10.3747/pdi.2011.00134 [doi]
AB  - BACKGROUND: Transfer to hemodialysis (HD) is a frequent cause of peritoneal 
      dialysis (PD) cessation. In the present study, we set out to describe the 
      transition period between PD and HD. METHODS: All patients in 4 centers of 
      Basse-Normandie who had been treated with PD for more than 90 days and who were 
      permanently transferred to HD between 1 January 2005 and 31 December 2009 were 
      retrospectively reviewed. The rate of unplanned HD start was evaluated. RESULTS: 
      In the 60 patients (39 men, 21 women) included in the study, median score on the 
      Charlson comorbidity index at PD initiation was 5 [interquartile range (IQR): 3 - 
      7], median age at HD initiation was 62 years (IQR: 54 - 76 years), and median 
      duration on PD was 22 months (IQR: 12 - 36 months). Among the 60 patients, 37 had 
      an unplanned HD initiation. Peritonitis was the most frequent cause of unplanned 
      HD start (n = 20), and dialysis inadequacy (n = 11), the main cause of planned HD 
      start. During the transition period, all patients were hospitalized. Median 
      duration of hospitalization was 4.5 days (IQR: 0 - 25.5 days). Within 2 months 
      after HD initiation, 9 patients died. Two months after starting HD, 6 of the 
      remaining 51 patients were being treated in a self-care HD unit and only 23 
      patients had a mature fistula. CONCLUSIONS: Unplanned HD start is a common 
      problem in patients transferred from PD. Further studies are needed to improve 
      the rate of planned HD start in PD patients transferred to HD.
FAU - Boissinot, Lucie
AU  - Boissinot L
AD  - Nephrology Department, CHU Clemenceau, Caen, France.
FAU - Landru, Isabelle
AU  - Landru I
FAU - Cardineau, Eric
AU  - Cardineau E
FAU - Zagdoun, Elie
AU  - Zagdoun E
FAU - Ryckelycnk, Jean-Philippe
AU  - Ryckelycnk JP
FAU - Lobbedez, Thierry
AU  - Lobbedez T
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20130102
PL  - United States
TA  - Perit Dial Int
JT  - Peritoneal dialysis international : journal of the International Society for 
      Peritoneal Dialysis
JID - 8904033
SB  - IM
MH  - Aged
MH  - Comorbidity
MH  - Female
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Kidney Failure, Chronic/therapy
MH  - Male
MH  - Middle Aged
MH  - *Patient Care Planning
MH  - *Peritoneal Dialysis
MH  - Peritoneal Dialysis, Continuous Ambulatory
MH  - Peritonitis/etiology
MH  - *Renal Dialysis
MH  - Retrospective Studies
MH  - Treatment Failure
PMC - PMC3707717
OTO - NOTNLM
OT  - Technique failure
OT  - transition
EDAT- 2013/01/04 06:00
MHDA- 2014/03/14 06:00
PMCR- 2014/07/01
CRDT- 2013/01/04 06:00
PHST- 2013/01/04 06:00 [entrez]
PHST- 2013/01/04 06:00 [pubmed]
PHST- 2014/03/14 06:00 [medline]
PHST- 2014/07/01 00:00 [pmc-release]
AID - pdi.2011.00134 [pii]
AID - 10.3747/pdi.2011.00134 [doi]
PST - ppublish
SO  - Perit Dial Int. 2013 Jul-Aug;33(4):391-7. doi: 10.3747/pdi.2011.00134. Epub 2013 
      Jan 2.