Video-Assisted Peritoneal Dialysis Placement in COVID-19 Patients

Background: Patients on peritoneal dialysis (PD) can be assisted by a nurse or a family member and treated either by automated PD (APD) or continuous ambulatory PD (CAPD). The aim of this study was to evaluate the effect of PD modality and type of assistance on the risk of transfer to haemodialysis (HD) and on the peritonitis risk in assisted PD patients. Method: This was a retrospective study based on data from the French Language PD Registry. All adults starting assisted PD in France between 2006 and 2015 were included. Events of interest were transfer to HD, peritonitis and death. Cox regression models were used for statistical analysis. Results: Among the 12,144 incident patients who started PD in France during the study period, 6,167 were assisted. There were 5,060 nurse-assisted and 1,095 family-assisted PD patients. Overall, 5,171 were treated by CAPD and 996 by APD. In multivariate analysis, CAPD, compared to APD, was not associated with the risk of transfer to HD (cause specific hazard ratios [cs-HR] 0.96 [95% CI 0.84–1.09]). Patients on nurse-assisted PD had a lower risk of transfer to HD than family assisted PD patients (cs-HR 0.85 [95% CI 0.75–0.97]). Neither PD modality nor type of assistance were associated with peritonitis risk. Conclusions: In assisted PD, technique survival was not associated with PD modality. Nurse-assisted patients had a lower risk of transfer to HD than family assisted patients. Peritonitis risk was not influenced either by PD modality, or by type of assistance. Both APD and CAPD should be offered to assisted-PD patients.

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The effectiveness and safety of computed tomographic peritoneography and video-assisted thoracic surgery for hydrothorax in peritoneal dialysis patients: A retrospective cohort study in Japan

PLoS ONE ◽

10.1371/journal.pone.0238602 ◽

2020 ◽

Vol 15 (9) ◽

pp. e0238602

Author(s):

Naoya Matsuoka ◽

Makoto Yamaguchi ◽

Akimasa Asai ◽

Keisuke Kamiya ◽

Hiroshi Kinashi ◽

...

Keyword(s):

Cohort Study ◽

Peritoneal Dialysis ◽

Thoracic Surgery ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Dialysis Patients ◽

Video Assisted Thoracic Surgery ◽

Computed Tomographic ◽

Video Assisted

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Assisted Peritoneal Dialysis: Also for the Late Referred Elderly Patient

Peritoneal Dialysis International ◽

10.1177/089686080802800507 ◽

2008 ◽

Vol 28 (5) ◽

pp. 461-467 ◽

Cited By ~ 33

Author(s):

Johan V. Povlsen ◽

Per Ivarsen

Keyword(s):

Elderly Patient ◽

Peritoneal Dialysis ◽

Assisted Peritoneal Dialysis

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Uremic encephalopathy in patients undergoing assisted peritoneal dialysis: a case series and literature review

CEN Case Reports ◽

10.1007/s13730-019-00406-3 ◽

2019 ◽

Vol 8 (4) ◽

pp. 271-279 ◽

Cited By ~ 2

Author(s):

Akane Yanai ◽

Kiyotaka Uchiyama ◽

Yoshitaka Ishibashi

Keyword(s):

Peritoneal Dialysis ◽

Literature Review ◽

Case Series ◽

Uremic Encephalopathy ◽

Assisted Peritoneal Dialysis

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A Systematic Review and Jurisdictional Scan of the Evidence Characterizing and Evaluating Assisted Peritoneal Dialysis Models

Clinical Journal of the American Society of Nephrology ◽

10.2215/cjn.11951019 ◽

2020 ◽

Vol 15 (4) ◽

pp. 511-520 ◽

Cited By ~ 3

Author(s):

Mark Hofmeister ◽

Scott Klarenbach ◽

Lesley Soril ◽

Nairne Scott-Douglas ◽

Fiona Clement

Keyword(s):

Systematic Review ◽

Health Care ◽

Peritoneal Dialysis ◽

Cochrane Central Register ◽

Home Based ◽

Cochrane Database ◽

Central Register ◽

Professional Assistance ◽

Dialysis Outcomes ◽

Assisted Peritoneal Dialysis

Background and objectivesCompared with hemodialysis, home peritoneal dialysis alleviates the burden of travel, facilitates independence, and is less costly. Physical, cognitive, or psychosocial factors may preclude peritoneal dialysis in otherwise eligible patients. Assisted peritoneal dialysis, where trained personnel assist with home peritoneal dialysis, may be an option, but the optimal model is unknown. The objective of this work is to characterize existing assisted peritoneal dialysis models and synthesize clinical outcomes.Design, setting, participants, & measurementsA systematic review of MEDLINE, Cochrane Central Register of Controlled Trails, Cochrane Database of Systematic Reviews, Embase, PsycINFO, and CINAHL was conducted (search dates: January 1995–September 2018). A focused gray literature search was also completed, limited to developed nations. Included studies focused on home-based assisted peritoneal dialysis; studies with the assist provided exclusively by unpaid family caregivers were excluded. All outcomes were narratively synthesized; quantitative outcomes were graphically depicted.ResultsWe included 34 studies, totaling 46,597 patients, with assisted peritoneal dialysis programs identified in 20 jurisdictions. Two categories emerged for models of assisted peritoneal dialysis on the basis of type of assistance: health care and non–health care professional assistance. Reported outcomes were heterogeneous, ranging from patient-level outcomes of survival, to resource use and transfer to hemodialysis; however, the comparative effect of assisted peritoneal dialysis was unclear. In two qualitative studies examining the patient experience, the maintenance of independence was identified as an important theme.ConclusionsReported outcomes and quality were heterogeneous, and relative efficacy of assisted peritoneal dialysis could not be determined from included studies. Although the patient voice was under-represented, suggestions to improve assisted peritoneal dialysis included using a person-centered model of care, ensuring continuity of nurses providing the peritoneal dialysis assist, and measures to support patient independence. Although attractive elements of assisted peritoneal dialysis are identified, further evidence is needed to connect assisted peritoneal dialysis outcomes with programmatic features and their associated funding models.

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Longitudinal Trends in Quality of Life and Physical Function in Frail Older Dialysis Patients: A Comparison of Assisted Peritoneal Dialysis and In-Center Hemodialysis

Peritoneal Dialysis International ◽

10.3747/pdi.2018.00086 ◽

2019 ◽

Vol 39 (2) ◽

pp. 112-118 ◽

Cited By ~ 5

Author(s):

Osasuyi Iyasere ◽

Edwina Brown ◽

Fabiana Gordon ◽

Helen Collinson ◽

Richard Fielding ◽

...

Keyword(s):

Quality Of Life ◽

Peritoneal Dialysis ◽

Mixed Model ◽

Rating Scale ◽

Depression Scale ◽

Dialysis Patients ◽

The Impact ◽

Assisted Peritoneal Dialysis

Background In-center hemodialysis (HD) has been the standard treatment for older dialysis patients, but reports suggest an associated decline in physical and cognitive function. Cross-sectional data suggest that assisted peritoneal dialysis (aPD), an alternative treatment, is associated with quality of life (QoL) outcomes that are comparable to in-center HD. We compared longitudinal changes in QoL between modalities. Methods We enrolled 106 aPD patients, matched with 100 HD patients from 20 renal centers in England and Northern Ireland. Patients were assessed quarterly for 2 years using the Hospital Anxiety and Depression Scale (HADS), SF-12 physical and mental scores, symptom score, Illness Intrusiveness Rating Scale (IIRS), Barthel's score, and the Renal Treatment Satisfaction Questionnaire (RTSQ). Mixed model analysis was used to assess the impact of dialysis modality on these outcomes during follow-up. P values were adjusted for multiple significance testing. Results Multivariate analysis showed no difference in any of the outcome measures between aPD and HD. Longitudinal trends in outcomes were also not significantly different. Higher age at baseline was associated with lower IIRS and RTSQ scores during follow-up. One-hundred and twenty-five (60.6%) patients dropped out of the study: 59 (28.6%) died, 61 (29.6%) withdrew during follow-up, and 5 (2.5%) were transplanted. Conclusions Quality of life outcomes in frail older aPD patients were equivalent to those receiving in-center HD. Assisted PD is thus a valid alternative to HD for older people with end-stage kidney disease (ESKD) wishing to dialyze at home.

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