Abstract: PO1316
Impact of Obesity on Success of Peritoneal Dialysis in ESRD Patients
Session Information
- Peritoneal Dialysis - 2
October 22, 2020 | Location: On-Demand
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 703 Dialysis: Peritoneal Dialysis
Authors
- Nunuk, Irene, Washington University in Saint Louis, Saint Louis, Missouri, United States
- O Brien, Frank J., Washington University in Saint Louis, Saint Louis, Missouri, United States
Background
Obesity rate is rising in the US and 1 in 4 adults are projected to have severe obesity by 2030. Prevalence of obesity in ESRD patients is also rising. Higher BMI has been shown to be associated with better survival in HD patients. However, data is inconsistent for PD patients. We examine the impact of different BMI classes on PD outcomes
Methods
This is a single center retrospective cohort study. Inclusion criteria includes patients >18 yrs, > 3 month PD vintage and patients who received PD from 2014-2018. Exclusion criteria includes patients with BMI <20, patients with no Kt/V data or missing BMI. SAS statistical software was used for data analysis
Results
181 total patients are divided into 4 groups. Baseline characteristics were similar in all groups (fig 1). Outcomes include transition from PD to HD, transplantation rate, mortality rate, number of hospitalizations, PD vintage and catheter related infections. Our data showed that there is no difference in outcomes among different BMI groups (tab1, fig 2)
Conclusion
Our single study shows that obesity is not associated with poor peritoneal dialysis outcomes. People with high BMI should still be offered PD as a modality
| Outcomes | BMI 20-24.9 kg/m2 | BMI 25-29.9 kg/m2 | BMI 30-34.9 kg/m2 | BMI >35 kg/m2 | P value |
| Transition from PD to HD | 26.2% | 26.2% | 30.4% | 50% | 0.092 |
| Transplantation | 33.3% | 34.4% | 30.4% | 21.9% | 0.638 |
| Deceased | 16.7% | 23% | 21.7% | 21.9% | 0.886 |
| Number of hospitalization | 1.74 (1.95) | 2.4 (2.95) | 2.5 (3.06) | 2.3 (2.56) | 0.534 |