PMID- 29674408
OWN - NLM
STAT- MEDLINE
DCOM- 20190128
LR  - 20200109
IS  - 1718-4304 (Electronic)
IS  - 0896-8608 (Linking)
VI  - 38
IP  - 4
DP  - 2018 Jul-Aug
TI  - 'Educational' Deprivation is Associated with PD Peritonitis.
PG  - 251-256
LID - 10.3747/pdi.2017.00098 [doi]
AB  - BACKGROUND: Socioeconomic deprivation is an important factor in determining poor 
      health and is associated with a higher prevalence of many chronic diseases, 
      including renal failure, and often poorer outcomes for patients with such 
      conditions. The aim of this study was to investigate the effect of deprivation on 
      peritonitis episodes following peritoneal dialysis (PD)-catheter insertion. 
      METHODS: The Welsh Index of Multiple Deprivation (WIMD) was used to assess the 
      influence of socioeconomic deprivation on outcomes following 233 consecutive 
      first PD-catheter insertions from a single institution in the United Kingdom, 
      performed between 2010 and 2015. The primary outcome measure was the presence of 
      peritonitis episodes. RESULTS: Peritoneal dialysis catheters were inserted in 243 
      patients, of which data were available for 233. Fifty-four patients experienced 
      at least 1 episode of peritonitis. Overall, more patients in the most deprived 
      group (vs least deprived) experienced peritonitis, although this was not 
      statistically significant. When analyzing the severity of the peritonitis, within 
      the 'Education' domain of the WIMD, significantly more patients from the most 
      deprived group (compared with the least deprived group) experienced '2 or more 
      peritonitis' episodes (p = 0.04) and were hospitalized for antibiotics (p = 
      0.02). CONCLUSION: This study has shown that patients who live in more 
      'educationally' deprived areas are more likely to have multiple episodes of 
      peritonitis requiring hospital admission following PD-catheter insertions.
CI  - Copyright (c) 2018 International Society for Peritoneal Dialysis.
FAU - Khalid, Usman
AU  - Khalid U
AD  - Dialysis Access Service, Cardiff & Vale University Health Board, Department of 
      Nephrology & Transplant Surgery, University Hospital of Wales, Heath Park, 
      Cardiff, United Kingdom usman.khalid@doctors.org.uk.
FAU - Zaidi, Aeliya
AU  - Zaidi A
AD  - Dialysis Access Service, Cardiff & Vale University Health Board, Department of 
      Nephrology & Transplant Surgery, University Hospital of Wales, Heath Park, 
      Cardiff, United Kingdom.
FAU - Cheang, Adrian
AU  - Cheang A
AD  - Dialysis Access Service, Cardiff & Vale University Health Board, Department of 
      Nephrology & Transplant Surgery, University Hospital of Wales, Heath Park, 
      Cardiff, United Kingdom.
FAU - Horvath, Szabolcs
AU  - Horvath S
AD  - Dialysis Access Service, Cardiff & Vale University Health Board, Department of 
      Nephrology & Transplant Surgery, University Hospital of Wales, Heath Park, 
      Cardiff, United Kingdom.
FAU - Szabo, Laszlo
AU  - Szabo L
AD  - Dialysis Access Service, Cardiff & Vale University Health Board, Department of 
      Nephrology & Transplant Surgery, University Hospital of Wales, Heath Park, 
      Cardiff, United Kingdom.
FAU - Ilham, Mohamed A
AU  - Ilham MA
AD  - Dialysis Access Service, Cardiff & Vale University Health Board, Department of 
      Nephrology & Transplant Surgery, University Hospital of Wales, Heath Park, 
      Cardiff, United Kingdom.
FAU - Stephens, Michael R
AU  - Stephens MR
AD  - Dialysis Access Service, Cardiff & Vale University Health Board, Department of 
      Nephrology & Transplant Surgery, University Hospital of Wales, Heath Park, 
      Cardiff, United Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20180419
PL  - United States
TA  - Perit Dial Int
JT  - Peritoneal dialysis international : journal of the International Society for 
      Peritoneal Dialysis
JID - 8904033
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Catheters, Indwelling
MH  - *Educational Status
MH  - Female
MH  - Hospitalization
MH  - Humans
MH  - Kidney Failure, Chronic/epidemiology/*therapy
MH  - Male
MH  - Middle Aged
MH  - Peritoneal Dialysis/*adverse effects
MH  - Peritonitis/*epidemiology
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Socioeconomic Factors
MH  - United Kingdom
MH  - Young Adult
OTO - NOTNLM
OT  - Outcomes research
OT  - perioneal dialysis catheter
OT  - socioeconomic deprivation
EDAT- 2018/04/21 06:00
MHDA- 2019/01/29 06:00
CRDT- 2018/04/21 06:00
PHST- 2017/05/26 00:00 [received]
PHST- 2018/01/02 00:00 [accepted]
PHST- 2018/04/21 06:00 [pubmed]
PHST- 2019/01/29 06:00 [medline]
PHST- 2018/04/21 06:00 [entrez]
AID - pdi.2017.00098 [pii]
AID - 10.3747/pdi.2017.00098 [doi]
PST - ppublish
SO  - Perit Dial Int. 2018 Jul-Aug;38(4):251-256. doi: 10.3747/pdi.2017.00098. Epub 
      2018 Apr 19.