BACKGROUND: Hemodialysis (HD) and peritoneal dialysis (PD) are both viable options for renal replacement therapy. Technique failure has been shown to be a major problem in PD therapy. OBJECTIVE: To examine the relationship between center size and PD technique failure. SETTING: ESRD Network #1 (NW1). DESIGN: Retrospective review of NW1 database. PATIENTS AND METHODS: 5003 incident PD patients between 2001 and 2005 in 105 PD units were included. Patients were grouped into 2 based on center size: group A, patients in units with <or=25 patients, and group B, patients in units with >25 patients. Outcome measures were analyzed for the first and second years of PD therapy. Patients were censored at transplantation, transfer to HD, or death. OUTCOME MEASURES: Technique failure and mortality reported as death in Standard Information Management Systems (SIMS) database (NW1 data system). RESULTS: Technique failure rates were significantly higher in group A for year 1 (odds ratio: 1.36, p = 0.005) and for year 2 (odds ratio: 1.35, p = 0.03). Mortality rates were not statistically different between the 2 groups. CONCLUSION: Technique failure was higher in units with <or=25 patients than in units with >25 patients. There was no difference in mortality between the 2 groups. The majority of patients in NW1 receive care in small units.
BACKGROUND: Hemodialysis (HD) and peritoneal dialysis (PD) are both viable options for renal replacement therapy. Technique failure has been shown to be a major problem in PD therapy. OBJECTIVE: To examine the relationship between center size and PD technique failure. SETTING:ESRD Network #1 (NW1). DESIGN: Retrospective review of NW1 database. PATIENTS AND METHODS: 5003 incident PDpatients between 2001 and 2005 in 105 PD units were included. Patients were grouped into 2 based on center size: group A, patients in units with <or=25 patients, and group B, patients in units with >25 patients. Outcome measures were analyzed for the first and second years of PD therapy. Patients were censored at transplantation, transfer to HD, or death. OUTCOME MEASURES: Technique failure and mortality reported as death in Standard Information Management Systems (SIMS) database (NW1 data system). RESULTS: Technique failure rates were significantly higher in group A for year 1 (odds ratio: 1.36, p = 0.005) and for year 2 (odds ratio: 1.35, p = 0.03). Mortality rates were not statistically different between the 2 groups. CONCLUSION: Technique failure was higher in units with <or=25 patients than in units with >25 patients. There was no difference in mortality between the 2 groups. The majority of patients in NW1 receive care in small units.
Authors: Htay Htay; Yeoungjee Cho; Elaine M Pascoe; Darsy Darssan; Annie-Claire Nadeau-Fredette; Carmel Hawley; Philip A Clayton; Monique Borlace; Sunil V Badve; Kamal Sud; Neil Boudville; Stephen P McDonald; David W Johnson Journal: Clin J Am Soc Nephrol Date: 2017-06-21 Impact factor: 8.237
Authors: Bessie A Young; Christopher Chan; Christopher Blagg; Robert Lockridge; Thomas Golper; Fred Finkelstein; Rachel Shaffer; Rajnish Mehrotra Journal: Clin J Am Soc Nephrol Date: 2012-10-04 Impact factor: 8.237
Authors: Jenny I Shen; Aya A Mitani; Anjali B Saxena; Benjamin A Goldstein; Wolfgang C Winkelmayer Journal: Perit Dial Int Date: 2012-10-02 Impact factor: 1.756
Authors: Eric L Wallace; Rachel B Fissell; Thomas A Golper; Peter G Blake; Adriane M Lewin; Matthew J Oliver; Rob R Quinn Journal: Perit Dial Int Date: 2015-10-22 Impact factor: 1.756