Hospitalization Rates for Patients on Assisted Peritoneal Dialysis Compared with In-Center Hemodialysis

التفاصيل البيبلوغرافية
العنوان: Hospitalization Rates for Patients on Assisted Peritoneal Dialysis Compared with In-Center Hemodialysis
المؤلفون: Susan Lavoie, J. Michael Paterson, Jeffrey Perl, Ahmed A. Al-Jaishi, Robert R. Quinn, Matthew J. Oliver, Stephanie N. Dixon, Charmaine E. Lok, Danielle M. Nash, Arsh K. Jain
بيانات النشر: American Society of Nephrology, 2016.
سنة النشر: 2016
مصطلحات موضوعية: medicine.medical_specialty, Epidemiology, medicine.medical_treatment, 030232 urology & nephrology, 030204 cardiovascular system & hematology, Critical Care and Intensive Care Medicine, Peritoneal dialysis, 03 medical and health sciences, 0302 clinical medicine, Renal Dialysis, Internal medicine, medicine, Humans, Dialysis, Transplantation, Intention-to-treat analysis, business.industry, Retrospective cohort study, Original Articles, Confidence interval, Nephrology, Propensity score matching, Kidney Failure, Chronic, Hemodialysis, business, Peritoneal Dialysis, Cohort study
الوصف: Background and objectives Assisted peritoneal dialysis is a treatment option for individuals with barriers to self-care who wish to receive home dialysis, but previous research suggests that this treatment modality is associated with a higher rate of hospitalization. The objective of our study was to determine whether assisted peritoneal dialysis has a different rate of hospital days compared to in-center hemodialysis. Design, setting, participants, & measurements We conducted a multicenter, retrospective cohort study by linking a quality assurance dataset to administrative health data in Ontario, Canada. Subjects were accrued between January 1, 2004 and July 9, 2013. Individuals were grouped into assisted peritoneal dialysis (family or home care assisted) or in-center hemodialysis on the basis of their first outpatient dialysis modality. Inverse probability of treatment weighting using a propensity score was used to create a sample in which the baseline covariates were well balanced. Results The study included 872 patients in the in–center hemodialysis group and 203 patients in the assisted peritoneal dialysis group. Using an intention to treat approach, patients on assisted peritoneal dialysis had a similar hospitalization rate of 11.1 d/yr (95% confidence interval, 9.4 to 13.0) compared with 12.9 d/yr (95% confidence interval, 10.3 to 16.1) in the hemodialysis group ( P =0.19). Patients on assisted peritoneal dialysis were more likely to be hospitalized for dialysis-related reasons (admitted for 2.4 d/yr [95% confidence interval, 1.8 to 3.2] compared with 1.6 d/yr [95% confidence interval, 1.1 to 2.3] in the hemodialysis group; P =0.04). This difference was partly explained by more hospital days because of peritonitis. Modality switching was associated with high rates of hospital days per year. Conclusions Assisted peritoneal dialysis was associated with similar rates of all-cause hospitalization compared with in-center hemodialysis. Patients on assisted peritoneal dialysis who experienced peritonitis and technique failure had high rates of hospitalization.
اللغة: English
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::eccfd12369a9b5a1fa2c6cb7c831525c
https://europepmc.org/articles/PMC5012487/
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....eccfd12369a9b5a1fa2c6cb7c831525c
قاعدة البيانات: OpenAIRE