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Abstract: FR-PO677

Long-Term Outcomes in Peritoneal Dialysis Patients Who Initiated Immediately After Catheter Insertion Using Percutaneous Catheter Placement Method

Session Information

Category: Dialysis

  • 703 Dialysis: Peritoneal Dialysis

Authors

  • Ko, Young kyung, Konkuk University Medical Center, Gwangjin-gu, seoul, Korea (the Republic of)
  • Jo, Young-Il, Konkuk University Medical Center, Seoul, Korea (the Republic of)
Background

The aim of this study was to evaluate the long-term outcomes in peritoneal dialysis (PD) patients who initiated immediately after catheter insertion using percutaneous catheter placement method without a break-in procedure.

Methods

We conducted a retrospective study including all incident PD patients in our hospital who began PD therapy between January 2002 and December 2017. PD catheter (swan neck or non-swan neck) were used and inserted by a nephrologist using percutaneous catheter placement method with guidewire. PD therapy initiated immediately after catheter insertion without a break-in procedure. Demographic and clinical data including ESI, peritonitis, pericatheter leakage, and catheter dysfunction during the study period were collected. Event-free survival rates of clinical events and patient survival rates were calculated using Kaplan-Meier analysis.

Results

One-hundred thirty seven patients began PD during the study period, and 127 of these patients were included in the final analysis. During the follow-up period, 83 patients were withdrawn from PD. Reasons for discontinuing PD were transfers to hemodialysis(42.3%), kidney transplantation (18.8%), follow-up loss(21.7%), or death(17.6%). The survival rates were 96.7%, 94.3%, 91.3%, 91.3% and 86.8% at 1, 2, 3, 4 and 5 years after PD initiation, respectively [Fig. 1]. In the Cox multivariate model, DM was related to patient survival. The technique survival rates were 90.9%, 83.7%, 81.2%, 73.5% and 69.6% at 1, 2, 3, 4 and 5 years after PD initiation, respectively [Fig. 1]. The risk factor for technique survival was catheter migration (95% CI 0.113-0.701, p=0.006). Event-free survival rates of variable clinical events were shown in Fig 1.

Conclusion

Our study showed that long-term outcomes including patient survival rates and event-free survival rates were comparatively high in PD patients who initiated immediately dialysis after catheter implantation using percutaneous method,