机构:[1]Aerosp Ctr Hosp, Dept Endocrinol, Beijing, Peoples R China[2]Capital Med Univ, Beijing Tiantan Hosp, Dept Cardiol, 6 Tian Tan Xi Li, Beijing 100050, Peoples R China诊疗科室心脏及大血管病中心首都医科大学附属天坛医院[3]Peking Univ, Hosp 3, Div Nephrol, 49 North Garden Rd, Beijing 100083, Peoples R China
Introduction. This study aimed to investigate the influence of peritoneal transport characteristics on clinical outcome in nondiabetic and diabetic nephropathy peritoneal dialysis (PD) patients. Materials and Methods. All 112 patients were from the PD Center. Peritoneal transport characteristic was assessed by peritoneal equilibration test. The patients were divided into 2 groups of high-transport group (HT) and non-high-transport group (non-HT) and followed-up till December 31st, 2010. The primary outcomes were all-cause death and technique failure. Results. The patients were followed-up for 65.9 +/- 23.9 months. Diabetic nephropathy patients with HT had a higher all-cause mortality (P = .04) and technique failure (P = .04) than those with non-HT. There were no differences in outcomes between HT and non-HT subgroups without diabetic nephropathy. Cox regression demonrtrated that high peritoneal transport (HR, 2.369; 95% CI, 1.056 to 5.311), diabetic nephropathy (HR, 2.499; 95% CI, 1.134 to 5.508), age (HR, 1.081; 95% CI, 1.032 to 1.133), and peritoneal creatinine clearance (HR, 0.962; 95% CI, 0.929 to 0.997) independently predicted all-cause mortality in continuous ambulatory PD patients. Moreover, high peritoneal transport (HR, 2.299; 95% CI, 1.079 to 4.899) and age (HR, 1.070; 95% CI, 1.026 to 1.116) predicted technique failure in continuous ambulatory PD patients. Conclusions. Diabetic nephropathy PD patients with HT had a higher all-cause mortality and technique failure than those with non-HT, but we did not find the correlation between peritoneal transport and outcome in nondiabetic patients. The peritoneal transport was an independent predictor for outcomes in continuous ambulatory PD patients.
基金:
Cheung Kong Scholar ProgrammeMinistry of Education, China [36-1]; Ministry of Education, People's Republic of ChinaMinistry of Education, China; Beijing Municipal Science and Technology Foundation [D131100004713002]
第一作者机构:[1]Aerosp Ctr Hosp, Dept Endocrinol, Beijing, Peoples R China
通讯作者:
通讯机构:[2]Capital Med Univ, Beijing Tiantan Hosp, Dept Cardiol, 6 Tian Tan Xi Li, Beijing 100050, Peoples R China[3]Peking Univ, Hosp 3, Div Nephrol, 49 North Garden Rd, Beijing 100083, Peoples R China
推荐引用方式(GB/T 7714):
Wang Hong,Tian Junping,Du Fenghe,et al.Effect of Peritoneal Transport Characteristics on Clinical Outcome in Nondiabetic and Diabetic Nephropathy Patients with Peritoneal Dialysis[J].IRANIAN JOURNAL OF KIDNEY DISEASES.2019,13(1):56-66.
APA:
Wang, Hong,Tian, Junping,Du, Fenghe&Wang, Tao.(2019).Effect of Peritoneal Transport Characteristics on Clinical Outcome in Nondiabetic and Diabetic Nephropathy Patients with Peritoneal Dialysis.IRANIAN JOURNAL OF KIDNEY DISEASES,13,(1)
MLA:
Wang, Hong,et al."Effect of Peritoneal Transport Characteristics on Clinical Outcome in Nondiabetic and Diabetic Nephropathy Patients with Peritoneal Dialysis".IRANIAN JOURNAL OF KIDNEY DISEASES 13..1(2019):56-66