Abstract
Background
The low prevalence of peritoneal dialysis (PD) (9%) vs. hemodialysis (HD) (88.2%)
is partly due to patient dropout from therapy.
Methods
This retrospective study identified patients who withdrew from PD between 2016 and
2018 in our program. We evaluated all other factors as controllable losses. Analysis
included time on therapy at dropout (very early, early or late) and method of initiation
(HD to PD conversion, unplanned PD, or planned start).
Results
Eighty-three patients enrolled into our PD program. 27 dropped out; 24 were due to
controllable factors, 3 due to death, with a median age at dropout of 52 years old.
We determined psychosocial factors (PF) to be the largest controllable factor influencing
dropout; contributing a 63% rate among all controllable factors. When considering
time until dropout, 100% of very early dropout patients and 50% of late dropout patients
did so due to PF. Among early dropout patients 67% dropped out due to other medical
reasons. The mean time to dropout for PF, other, and infection (INF) were 13, 26,
and 33 months, respectively. When considering type of initiation, we found PF to be
the largest attributable factor with 50% of unplanned, 100% of planned, and 50% of
conversions stopping therapy.
Conclusions
Our study indicates that the primary reason for controllable loss from therapy was
secondary to PF regardless of the time on therapy or the method of initiation to therapy.
Keywords
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Article info
Publication history
Published online: June 30, 2020
Accepted:
June 29,
2020
Received:
January 9,
2020
Footnotes
Support: None.
Financial disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
© 2020 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
