Immediate-start peritoneal dialysis without break-in-period: an 18-year retrospective cohort study on patient survival.

ABSTRACT:

Background

Immediate-start peritoneal dialysis (ISPD) is an effective renal replacement therapy that can prevent central venous catheterization due to its immediate initiation of peritoneal dialysis (PD) after catheter insertion without a break-in period. This study aimed to investigate the effect of ISPD on long-term patient survival.

Methods

In this retrospective single-center cohort study, 178 consecutive patients who started PD from August 2005 to March 2023 were enrolled, from whom 144 patients with ISPD were analyzed. PD was initiated without a break-in period within 24 hours of catheter insertion using percutaneous needle-guidewire technique. The primary outcome was patient survival, estimated using the Kaplan-Meier method. A Cox proportional hazard regression model w

SUBMITTER: Lee JY 

PROVIDER: S-EPMC11985293 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature