Five-Year Survival in Comparable HD and PD Patients: One Center's Experience

Author:

Andrikos E.1,Tseke P.1,Balafa O.1,Pappas M.1

Affiliation:

1. Nephrology Department, G. Hatzikosta General Hospital, Ioannina - Greece

Abstract

Several studies have yielded conflicting results regarding morbidity and mortality in peritoneal dialysis (PD) and hemodialysis (HD) patients. We performed a retrospective analysis in end-stage renal disease (ESRD) patients in our department, who were equally distributed between HD and PD, in order to compare 5-year survival probabilities and hospitalization rates in the two modalities. Of the total 94 new ESRD patients who initiated dialysis in our department from January 1995 to December 2000, 48 were allocated to PD and 46 to HD. All patients were followed up for five years. There were no significant differences regarding demographics and serious co-morbidities upon dialysis initiation between HD and PD patients. Unadjusted 5-year survival probability in as-treated analysis was higher in PD patients (0.79 vs 0.6, p=0.04), whereas there was no significant difference in intent-to-treat analysis between HD and PD patients (p=0.5). Hospitalization rates were similar in both modalities. Despite the small number of patients included in our study, it seems that when HD and PD are both available in one department they have equivalent results regarding morbidity and mortality rates. Therefore we suggest that, when possible, PD and HD should be equally offered to all ESRD patients.

Publisher

SAGE Publications

Subject

Biomedical Engineering,Biomaterials,General Medicine,Medicine (miscellaneous),Bioengineering

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1. The benefit of early survival on PD versus HD—Why this is (still) very important;Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis;2020-02-18

2. Studying Survival Studies in PD versus HD: Is There Something More to Know?;Renal Failure;2012-01-20

3. Current World Literature;Current Opinion in Pediatrics;2010-04

4. Propensity-Matched Mortality Comparison of Incident Hemodialysis and Peritoneal Dialysis Patients;Journal of the American Society of Nephrology;2010-02-04

5. Peritoneal Dialysis versus Hemodialysis: Comparing the Comparable;The International Journal of Artificial Organs;2010-01

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