Combined Therapy with Peritoneal Dialysis and Hemodialysis: A Multicenter Retrospective Observational Cohort Study in Japan

Autor:	Tatsuo Hosoya, Yukio Maruyama, Keitaro Yokoyama, Teruhiko Maeba, Yasushi Otsuka, Yoshihide Tanaka, Hideaki Iwasawa, Sonoo Mizuiri, Toshiyuki Nakao, Satoru Kuriyama, Tsutomu Sanaka, Chieko Higuchi, Masaaki Nakayama, Ken Sakai
Rok vydání:	2014
Předmět:	Male medicine.medical_specialty Urinalysis medicine.medical_treatment Urology Peritoneal dialysis chemistry.chemical_compound Renal Dialysis Humans Medicine Aged Retrospective Studies Creatinine Dialysis adequacy medicine.diagnostic_test business.industry Retrospective cohort study Hematology General Medicine Middle Aged Hemodialysis Solutions Surgery chemistry Nephrology Kidney Failure Chronic Female Observational study Hemodialysis business Peritoneal Dialysis Cohort study
Zdroj:	Blood Purification. 38:149-153
ISSN:	1421-9735 0253-5068
Popis:	Background/Aims: Combining peritoneal dialysis (PD) and hemodialysis (HD) has been common treatment option in Japan. Methods: In this retrospective, multicenter, observational study, the clinical characteristics and outcomes of 104 patients (57 w 11 years, males 72%) who had switched from PD alone to combined therapy with PD and HD were studied. Clinical parameters were measured at baseline and after 3 months of combined therapy. Results: At baseline, urine volume, dialysate-to-plasma ratio of creatinine (D/P Cr), and total Kt/V were 150 ml/day (range: 0-2,000 ml/day), 0.67 w 0.11, and 1.8 w 0.4, respectively. During the first 3 months of combined therapy, body weight, urine volume, serum creatinine level, and D/P Cr decreased, whereas hemoglobin levels increased. Conclusions: In patients where PD does not result in acceptable outcomes, combined therapy with PD and HD may have potential benefits in terms of dialysis adequacy and hydration status. Video Journal Club “Cappuccino with Claudio Ronco” at http://www.karger.com/?doi=368389 i 2014 S. Karger AG, Basel
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::33f9c468a577e16cada4fafbe7921926 https://doi.org/10.1159/000368389 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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