None listed
Conditions
Brief summary
The primary aim of this study is to compare the risk of access-related procedures between peritoneal dialysis and hemodialysis Procedures to maintain access to the peritoneum or the bloodstream are important measures of safety because they are caused by complications that “require intervention in order to prevent permanent impairment or damage”. This usually meets the definition of a serious adverse event because loss of access is a life-threatening event for a chronic dialysis patient.
Interventions
Incident patients with end stage renal disease (ESRD) who are eligible for both are offerred peritoneal dialysis (PD) or hemodialysis (HD). The PD group has access to up to two nursing visits a day to assisted with PD (primarily cycler PD).
Peritoneal dialysis is treatment by continuous ambulatory PD or automated PD.
Hemodialysis is intermittent treatments usually three times per week but patients could receive more treatments per week if clinically indicated.
Observation was from the star
Incident patients with end stage renal disease (ESRD) who are eligible for both are offerred peritoneal dialysis (PD) or hemodialysis (HD). The PD group has access to up to two nursing visits a day to assisted with PD (primarily cycler PD). Peritoneal dialysis is treatment by continuous ambulatory PD or automated PD. Hemodialysis is intermittent treatments usually three times per week but patients could receive more treatments per week if clinically indicated. Observation was from the start of dialysis to the end of dialysis (transplant, death) or lost to follow-up or end of the study.
Sponsors
Canadian Institutes of Health Research
Eligibility
Sex/Gender
All
Age
18 Years to 120 Years
Healthy volunteers
No
Inclusion criteria
1) Written or verbal diagnosis of stage 5 chronic kidney disease or end stage renal disease by nephrologist initiated dialysis therapy 3) Eligible for both peritoneal dialysis and hemodialysis. 3) Lives in region and residence where home care assistance for peritoneal dialysis is available.
Exclusion criteria
1) Determined to be a prevalent (not incident) dialysis patient defined as having received dialysis for greater than three months any time prior to assessment or having received a previous kidney transplant 2) Died, withdrew from dialysis, or moved out of region prior to completing multidisciplinary assessment 3) Recovered renal function and discontinued dialysis 4) Refused to participate in a complete multidisciplinary assessment for modality eligibility
Outcome results
None listed