Abstract
Multidisciplinary predialysis education (MPE) has shown improvement in outcomes of chronic kidney disease (CKD) patients. However, the legacy effects of MPE in peritoneal dialysis (PD) patients remain unclear. All patients who start PD at single hospital in 2007-2016 were enrolled. The incidence of peritonitis and peritonitis-related mortality were compared between MPE recipients and non-recipients. Kaplan-Meier analysis and Cox proportional hazards model were applied to identify the prognostic factors associated with peritonitis-free survival. The patients of MPE group had a lower peritonitis rate compared with the non-MPE group. The median time to the first episode of peritonitis in the non-MPE and MPE groups was 33.9 months and 46.7 months, respectively. Cox regression analysis revealed that MPE assignment were significant independent predictors for peritonitis-free survival. An efficient standardized MPE program may prolong the time to the first episode of peritonitis and reduce peritonitis rate, independent of age, gender, diabetes, hypertension, educational status, and PD modality. Subsequently, it decreased peritonitis-related death.
| Translated title of the contribution | Multidisciplinary Predialysis Education Improves Outcome of Peritoneal Dialysis Patients |
|---|---|
| Original language | Chinese (Traditional) |
| Pages (from-to) | 14-20 |
| Number of pages | 7 |
| Journal | 腎臟與透析 |
| Volume | 31 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Mar 2019 |
| Externally published | Yes |
Keywords
- peritoneal dialysis
- peritonitis
- multidisciplinary predialysis education
