Effect of Peritoneal Dialysis Modality on the 1-Year Rate of Decline of Residual Renal Function.
10.3349/ymj.2014.55.1.141
- Author:
Chan Ho KIM
1
;
Hyung Jung OH
;
Mi Jung LEE
;
Young Eun KWON
;
Yung Ly KIM
;
Ki Heon NAM
;
Kyoung Sook PARK
;
Seong Yeong AN
;
Kwang Il KO
;
Hyang Mo KOO
;
Fa Mee DOH
;
Seung Hyeok HAN
;
Tae Hyun YOO
;
Beom Seok KIM
;
Shin Wook KANG
;
Kyu Hun CHOI
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. khchoi6@yuhs.ac
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Continuous ambulatory peritoneal dialysis;
end-stage kidney disease;
glomerular filtration rate;
peritoneal dialysis
- MeSH:
Adult;
Female;
Glomerular Filtration Rate/physiology;
Humans;
Kidney/pathology/physiopathology;
Kidney Failure, Chronic/*therapy;
Male;
Middle Aged;
Peritoneal Dialysis/*adverse effects;
Retrospective Studies
- From:Yonsei Medical Journal
2014;55(1):141-148
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The effect of different peritoneal dialysis (PD) modalities on the decline in residual renal function (RRF) is unclear due to inconsistencies among studies. In particular, the effect of automated peritoneal dialysis (APD) modalities [continuous cyclic peritoneal dialysis (CCPD) and nightly intermittent peritoneal dialysis (NIPD)] on RRF has not been examined in a large cohort. MATERIALS AND METHODS: We conducted a single-center retrospective study to investigate the association between PD modalities and decline in RRF in 142 incident PD patients [34 on CCPD, 36 on NIPD, and 72 on continuous ambulatory peritoneal dialysis (CAPD)]. RRF was measured within 2 months from PD start and at 1 year after PD initiation. RESULTS: The RRF at 1 year after PD initiation was 1.98+/-2.20 mL/min/1.73 m2 in CCPD patients and 3.63+/-3.67 mL/min/1.73 m2 in NIPD patients, which were moderately lower than 4.23+/-3.51 mL/min/1.73 m2 in CAPD patients (p=0.064). Moreover, there was no significant difference in the 1-year rate of decline of RRF between CCPD and NIPD patients, although APD patients had a faster 1-year RRF decline rate than CAPD patients (CCPD and NIPD vs. CAPD: -45.68 and -36.69 vs. 1.17%/year, p=0.045). APD was associated with a more rapid decline in RRF in patients with end-stage renal disease undergoing PD, although multivariate analysis attenuated the significance of this finding (beta=-31.50; 95% CI, -63.61 to 0.62; p=0.052). CONCLUSION: Our results suggest that CAPD might be more helpful than APD for preserving RRF during the first year of dialysis therapy, although there was no significant difference in the 1-year rate of decline of RRF between the two APD modalities.
