title: The role of an integrated care model for kidney disease in the development of peritoneal dialysis: a single-center experience in China.
abstract: Peritoneal dialysis plays a crucial role in the integrated care of patients with end-stage renal disease (ESRD). In this paper, we retrospectively analyzed the quality indicators of peritoneal dialysis (PD) in 712 patients from our center who underwent PD between 2004 and 2011. In 43% of patients, follow-up was undertaken every 3 months at our outpatient department, and 54% patients were followed up by both our hospital and other local hospitals. The patient survival rate at 1, 3 and 5 years was 96.3%, 85.4% and 76.2%, respectively. The technique survival (excludes death/transplantation) at 1, 3 and 5 years was 95.1%, 87.7% and 79.6%, respectively. Fluid overload occurred in 29.2% of patients and was one of the major reasons for discontinuing PD. The peritonitis rate in our center decreased to 0.16 episodes/year in 2011. In addition, since our center is one of the largest integrated-treatment centers for ESRD in China, we have developed a multilevel care program in Zhejiang Province, which resulted in rapid growth of PD in our province in recent years.
authors: Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, P.R. China.
authors: Xiaohui
authors: X
authors: Zhang
authors: Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, P.R. China.
authors: Zhangfei
authors: Z
authors: Shou
authors: Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, P.R. China.
authors: Zhimin
authors: Z
authors: Chen
authors: Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, P.R. China.
authors: Ying
authors: Y
authors: Xu
authors: Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, P.R. China.
authors: Fei
authors: F
authors: Han
authors: Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, P.R. China.
authors: Xiaohong
authors: X
authors: Yin
authors: Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, P.R. China.
authors: Jun
authors: J
authors: Lin
authors: Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, P.R. China.
authors: Haiyan
authors: H
authors: Pan
authors: Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, P.R. China.
authors: Peipei
authors: P
authors: He
authors: Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, P.R. China.
authors: Jianghua
authors: J
authors: Chen
mesh_terms: D000328:Adult; D000368:Aged; D002681:China; D015331:Cohort Studies; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005260:Female; D006436:Hemodialysis Units, Hospital / Q000458:organization & administration; D006785:Hospitals, University; D006801:Humans; D053208:Kaplan-Meier Estimate; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000401:mortality* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects / Q000379:methods*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects / Q000379:methods; D011379:Prognosis; D015397:Program Evaluation; D019984:Quality Indicators, Health Care; D012189:Retrospective Studies; D018570:Risk Assessment; D012380:Role; D016019:Survival Analysis; D016896:Treatment Outcome
keywords: Integrated care model; peritoneal dialysis; technique survival