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Twenty years’ pediatric chronic peritoneal dialysis in Uruguay: patient and technique survival

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Abstract

In this study we analyze the impact of the patient’s socioeconomic status (SES) and the distance from the patient’s home to the dialysis center (DPH-DC), classified as ≤300 km or >300 km, on the patient and technique survival of 59 patients starting chronic peritoneal dialysis (CPD) between May 1983 and January 2004 at a single center in Uruguay. SES was established using Graffar’s method. Mean duration of CPD was 38.1±26.0 months. Mean age at the start of CPD was 8.4±5.2 years. Overall patient and technique survival at 5 years were 86.4% and 77.9%, respectively. Twenty (33.8%) patients were transferred to hemodialysis. Eight (13.5%) patients died. The incidence of peritonitis was one episode every 9.1 months. There was no statistically significant difference in patient and technique survival between the patients in the low and high SES groups (p=0.72 and 0.99, respectively), and between those in the two DPH-DC groups, (p=0.22 and p=0.99, respectively). Logistic regression analysis confirmed low SES and DPH-DC >300 km are not predictors of patient death (p=0.79 and p=0.09, respectively) or technical failure (p=0.35 and p=0.15, respectively). No SES- and DPH-DC-related statistically significant differences were found in patient and technique survival.

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References

  1. United Nations Development Programme (2004) Human Development Report 2004. Oxford University Press, Oxford

  2. Litwin M, Grenda R, Prokurat S, Abuauba M, Latoszyñska L et al (2001) Patient survival and causes of death on hemodialysis and peritoneal dialysis—single center study. Pediatr Nephrol 16:996–1001

    Article  CAS  PubMed  Google Scholar 

  3. Bisignano L, Grosman M, Jeifetz M, Delgado N, Turconi A et al (1998) Are time on dialysis, parent’s personality, and cultural and social-economic levels predictors of peritonitis incidence in children undergoing CAPD? Perit Dial Int 18(Suppl 1):S62 (Abstract)

    Google Scholar 

  4. Ariza M, Lopez M, Quesada T (1991) Complications of CAPD in children: six years experience in Carcas, Venezuela. Adv Perit Dial 7:269–271

    CAS  PubMed  Google Scholar 

  5. Katz JI, Sofianou L, Hopley M (2001) An African community-based chronic ambulatory peritoneal dialysis programme. Nephrol Dial Transplant 16:2395–400

    Google Scholar 

  6. Zent R, Myers JE, Donald D, Rayner BL (1994) Continuous ambulatory peritoneal dialysis: an option in the developing world? Perit Dial Int 14:48–51

    CAS  PubMed  Google Scholar 

  7. Graffar M (1956) Une methode de classification sociale d’echantillons de population. Courrier 332:133–8

    Google Scholar 

  8. Grunberg J, Esquivel N, Sitkewich A, Farias Y (1981) Método de clasificación social de Graffar: instructivo con modificaciones y definiciones. Courrier 31:492–4

    Google Scholar 

  9. Verrina E, Edelfonti A, Gianoglio B, Rinaldi S, Sorino P et al (2004) A multicenter experience on patient and technique survival in children on chronic dialysis. Pediatr Nephrol 19:82–90

    Article  PubMed  Google Scholar 

  10. Honda M (1999) Report of the Japanese National Registry data on pediatric CAPD patients: a ten year experience. A report of the study group of pediatric PD conference. Perit Dial Int 19(Suppl 2):S473–8

    PubMed  Google Scholar 

  11. Schaefer F, Klaus G, Muller-Wiefeld DE, Mehls O (1999) Current practice of peritoneal dialysis in children: results of a longitudinal survey. Mid European Pediatric Peritoneal Dialysis Study Group (MEPPSG). Perit Dial Int 19(Suppl 2):S445–9

    PubMed  Google Scholar 

  12. Warady BA, Hébert D, Sullivan EK, Alexander SR, Tejani A (1997) Renal transplantation, chronic dialysis, and chronic renal insufficiency in children and adolescents. The 1995 Annual Report of the North American Pediatric Renal Renal Transplant Cooperative Study. Pediatr Nephrol 11:49–64

    Article  CAS  PubMed  Google Scholar 

  13. Mirza K, Elzouki Y (1997) Peritonitis in continuous ambulatory peritoneal dialysis in children living in Saudi Arabia. Pediatr Nephrol 11:325–327

    Article  CAS  PubMed  Google Scholar 

  14. Kim PK, Kim JH (1999) Pediatric peritoneal dialysis in Korea: practical solutions to the problems of peritoneal dialysis in children. Perit Dial Int 19(Suppl 2):S489–92

    PubMed  Google Scholar 

  15. Deekajorndech TD, Kingwatanakul P (2004) Dialysis catheter infections and peritonitis in children receiving Chronic Ambulatory Peritoneal Dialysis (CAPD) with low cost multiexchange per bag technique. Perit Dial Int 24(Suppl 2):S77

    Google Scholar 

  16. Cavagnaro F, Lagomarsino E (1997) Diálisis peritoneal crónica infantil: estado actual en Chile. Rev Chil Pediatr 68:78–82

    Google Scholar 

  17. Neu AM, Ho Martin PL, McDonald RA, Warady BA (2002) Chronic dialysis in children and adolescents. The 2001 NAPRTCS Annual Report. Pediatr Nephrol 17:656–663

    Article  PubMed  Google Scholar 

  18. Delucchi A, Contreras MA, Bidegain A, Quiero X, Barrera P, et al (2002) Diálisis Peritoneal crónica pediátrica en Chile. Estudio multicéntrico. Rev Chil Pediatr 73:116–126

    Google Scholar 

  19. Dönmez O, Aladag S, Cigerdelen N, Kocak S (2003) Outcome in children on chronic peritoneal dialysis. Adv Perit Dial 19:269–272

    PubMed  Google Scholar 

  20. El Reshaid K, Kapoor MM, Nampoory N, El Reshaid W, Johny KV (1999) Pediatric dialysis and renal transplantation in Kuwait over the past 11 years. Pediatr Nephrol 13:259–264

    Article  PubMed  Google Scholar 

  21. Phadke KD, Dinakar Ch (2001) The challenges of treating children with renal failure in a developing country. Perit Dial Int 21(Suppl 3):S326–9

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Hospital Evangélico, Servicio de Nefrología de Niños y Adolescentes (SENNIAD), Instituto de Medicina Altamente Especializada, Rambla Gandhi 221 ap 201, 11300, Montevideo, Uruguay

    Jose Grünberg, María Cristina Verocay, Anabella Rébori, Virginia Ramela, Carmen Amaral, Gabriela Hekimian, Mariela Viera & Jorge Pouso

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  1. Jose Grünberg
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  2. María Cristina Verocay
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  3. Anabella Rébori
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  4. Virginia Ramela
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  5. Carmen Amaral
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  7. Mariela Viera
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  8. Jorge Pouso
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Correspondence to Jose Grünberg.

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Grünberg, J., Verocay, M.C., Rébori, A. et al. Twenty years’ pediatric chronic peritoneal dialysis in Uruguay: patient and technique survival. Pediatr Nephrol 20, 1315–1319 (2005). https://doi.org/10.1007/s00467-005-1939-0

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  • DOI: https://doi.org/10.1007/s00467-005-1939-0

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