Abstract: TH-PO839
Peritoneal Dialysis Annual Drop Out Monitoring Increases Patient and Technique Survival
Session Information
- Peritoneal Dialysis - I
November 02, 2017 | Location: Hall H, Morial Convention Center
Abstract Time: 10:00 AM - 10:00 AM
Category: Dialysis
- 608 Peritoneal Dialysis
Authors
- Marron, Belen, Diaverum, Madrid, Spain
- Timofte, Delia, Diaverum, Bucharest, Romania
- Roesch, Michael, Diaverum, Hamburg, Germany
- Ostrowski, Janusz, Diaverum, Wloclawek, Poland
- Török, Marietta, Diaverum Hungary Ltd., Budapest, Hungary
- Munteanu, Dan, Diaverum, Bucharest, Romania
- Kochman, Pawel, Diaverum, Wloclawek, Poland
- Orosz, Attila, Diaverum, Budapest, Hungary
- Moretta, Gustavo Lorenzo, Diaverum, Buenos Aires, Argentina
- Stroumza, Paul, Diaverum, Marseille, France
- Fabricius, Elisabeth, Diaverum, Visby, Sweden
- Hegbrant, Jorgen BA, Diaverum, Lund, Sweden
Background
PD drop out (DO) is often not routinely measured and seldom reported in the literature.
Methods
Observational, prospective registry in 9 countries (FR, DE, HU, PL, RO, SE, AR, CL, UR) during 2 years. Only EU countries with ≥ 100 prevalent PD patients (pts) [RO, DE, PL, HU] are presented here. All PD pts were tracked on a monthly basis for DO due to: TX, RRF recovery, transfer to HD (due to peritonitis, exit site or catheter issues, UFF, low adequacy, burn out or others), transferred to other centers, death or others. Total DO, controllable DO (transfer to HD and to other centers) and underlying causes are provided as percentage of pts at risk.
Results
565 pts (372 prevalent, 193 incident) in 47 clinics, 2015 and 813 (623 prevalent, 190 incident) in 61 clinics, 2016. DO results (2016 vs. 2015) was as follows: total annual DO (41 vs. 49%), controllable DO (18.3 vs. 19.1%), TX (5.9 vs. 9.3%), RRF recovery (0.3 vs. 0.5%), transfer to other centers (1.2 vs. 2.9%), death (14.9 vs. 18.3%) and HD (14.8 vs. 15.4%). Cardiac events deaths decreased from 50 to 47.6% (n=42 pts) and fatal peritonitis from 6 to 4.6% (n=4 pts). Causes of HD transfer in 2016 were: peritonitis 5%, low adequacy 2.4%, UF failure 2%, catheter issues 1.7%, burn out 0.3% and other reasons 3%. Results improved in all countries, in terms of total and controllable DO, death and transfer to HD. By contrast, RRF recovery and TX rate decreased in all countries. Country specific data not shown here.
Conclusion
Annual DO monitoring increased quality in PD, comparisons across countries and resulted in a decreased mortality and HD transfer DO rate.