PDI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Perit Dial Int 17(4): 360-364
1997
© 1997 International Society for Peritoneal Dialysis
This Article
Right arrow Full Text (PDF)
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Woodrow, G
Right arrow Articles by Brownjohn, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Woodrow, G
Right arrow Articles by Brownjohn, A.
Peritoneal Dialysis International, Vol 17, Issue 4, 360-364
Copyright © 1997 by International Society for Peritoneal Dialysis

Articles

Technique failure in peritoneal dialysis and its impact on patient survival

G Woodrow, JH Turney, and AM Brownjohn

Renal Unit, General Infirmary at Leeds, U.K.

OBJECTIVE: To determine the frequency and causes of continuous ambulatory peritoneal dialysis (CAPD) technique failure and its effect on patient outcome. DESIGN: Retrospective study of CAPD technique and patient outcome. SETTING: Teaching hospital renal unit. PATIENTS: All 221 patients commencing CAPD over a 14-year period. OUTCOME MEASURES: Outcomes assessed included patient survival and technique survival (with change to hemodialysis being considered as technique failure). RESULTS: CAPD failure occurred in 46 patients, with a CAPD technique survival of 93%, 73%, and 63% at 1, 3, and 5 years after start of treatment. Peritonitis was the major cause of technique failure. CAPD system had no effect on technique survival, despite the lower peritonitis rate in patients using Y-connection systems. Overall patient survival was 91%, 72%, and 53% at 1, 3, and 5 years after start of treatment, with increasing age and diabetes being associated with a worse outcome. There was a high early mortality after CAPD failure, with an actuarial survival of only 61% 1 year later. CONCLUSION: Failure of CAPD is an important problem, with peritonitis being the major cause, either directly, or indirectly by the later effects of damage to the peritoneal membrane with loss of dialysis adequacy. The high mortality in the period following CAPD failure warrants careful monitoring of patients during this phase, along with efforts to optimize correctable factors such as nutrition, adequacy of the new form of dialysis, and treatment of residual sepsis.




This article has been cited by other articles:


Home page
 pdiHome page
I. Kolesnyk, F. W. Dekker, E. W. Boeschoten, and R. T. Krediet
TIME-DEPENDENT REASONS FOR PERITONEAL DIALYSIS TECHNIQUE FAILURE AND MORTALITY
Perit. Dial. Int., March 1, 2010; 30(2): 170 - 177.
[Abstract] [Full Text] [PDF]

Home page
 pdiHome page
N. Demoulin and E. Goffin
INTRAPERITONEAL UROKINASE AND ORAL RIFAMPICIN FOR PERSISTING ASYMPTOMATIC DIALYSATE INFECTION FOLLOWING ACUTE COAGULASE-NEGATIVE STAPHYLOCOCCUS PERITONITIS
Perit. Dial. Int., September 1, 2009; 29(5): 548 - 553.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
R. Rao, D. Ansell, J. A. Gilg, S. J. Davies, E. J. Lamb, and C. R. V. Tomson
Effect of change in renal replacement therapy modality on laboratory variables: a cohort study from the UK Renal Registry
Nephrol. Dial. Transplant., September 1, 2009; 24(9): 2877 - 2882.
[Abstract] [Full Text] [PDF]

Home page
 pdiHome page
F. de Vin, P. Rutherford, and D. Faict
INTRAPERITONEAL ADMINISTRATION OF DRUGS IN PERITONEAL DIALYSIS PATIENTS: A REVIEW OF COMPATIBILITY AND GUIDANCE FOR CLINICAL USE
Perit. Dial. Int., January 1, 2009; 29(1): 5 - 15.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
P. A. Brown, B. B. McCormick, G. Knoll, Y. Su, S. Doucette, D. Fergusson, and S. Lavoie
Complications and catheter survival with prolonged embedding of peritoneal dialysis catheters
Nephrol. Dial. Transplant., July 1, 2008; 23(7): 2299 - 2303.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
C. T.-S. Lim, K.-S. Wong, and M. W.-Y. Foo
The impact of topical mupirocin on peritoneal dialysis infection in Singapore General Hospital
Nephrol. Dial. Transplant., October 1, 2005; 20(10): 2202 - 2206.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
C. Thiam-Seong Lim, K.-S. Wong, and M. Wai-Yin Foo
The impact of topical mupirocin on peritoneal dialysis infection rates in Singapore General Hospital
Nephrol. Dial. Transplant., August 1, 2005; 20(8): 1702 - 1706.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
C.-C. Szeto, T. Y.-H. Wong, K.-M. Chow, C.-B. Leung, and P. K.-T. Li
Are peritoneal dialysis patients with and without residual renal function equivalent for survival study? Insight from a retrospective review of the cause of death
Nephrol. Dial. Transplant., May 1, 2003; 18(5): 977 - 982.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Soc. Nephrol.Home page
C.-C. Szeto, K.-M. Chow, T. Y.-H. Wong, C.-B. Leung, A. Y.-M. Wang, S.-F. Lui, and P. K.-T. Li
Feasibility of Resuming Peritoneal Dialysis after Severe Peritonitis and Tenckhoff Catheter Removal
J. Am. Soc. Nephrol., April 1, 2002; 13(4): 1040 - 1045.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Soc. Nephrol.Home page
R. Gokal
Peritoneal Dialysis in the 21st Century: An Analysis of Current Problems and Future Developments
J. Am. Soc. Nephrol., January 1, 2002; 13(90001): S104 - 115.
[Full Text] [PDF]

Home page
 J. Am. Soc. Nephrol.Home page
G. A. KAYSEN
The Microinflammatory State in Uremia: Causes and Potential Consequences
J. Am. Soc. Nephrol., July 1, 2001; 12(7): 1549 - 1557.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Multimed Inc. logo
Copyright © 1997 by Multimed Inc.