Excellent technique survival on home peritoneal dialysis: results of a regional program.
OBJECTIVE
To examine peritoneal dialysis technique survival in our regional, continuous ambulatory peritoneal dialysis (CAPD) program.


METHODS
Retrospective analysis.


METHODS
Tertiary care dialysis program at an academic medical center.


METHODS
155 patients representing all those in the peritoneal dialysis program between October 1, 1987 and October 1, 1990.


METHODS
The study analyzed patient and technique survival as well as the reasons for discontinuation of dialysis. In addition, the incidence and type of peritonitis and exit-site infection were also analyzed.


RESULTS
Three-year actuarial patient survival was 66% and three-year technique survival was 86%, with data censored for death and transplant patients. Fifty-seven percent of transfers to hemodialysis were due to peritonitis, usually fungal or multiorganism bacterial. Only 1 patient failed due to exit-site and tunnel infection, and 1 due to inadequate dialysis. The catheter removal rate was 0.04 per patient-year.


CONCLUSIONS
Excellent CAPD technique survival can be achieved if exit-site and tunnel infection rates are low.
Jindal
K K
KK
Nova Scotia-Prince Edward Island Regional Home Dialysis Program, Department of Medicine, Dalhousie University, Halifax, Canada.
Hirsch
D J
DJ
D005260:Female; D018575:Home Care Services, Hospital-Based; D006801:Humans; D007239:Infections / Q000209:etiology; D015993:Life Tables; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects / Q000379:methods / Q000401:mortality; D010538:Peritonitis / Q000209:etiology