End Stage Kidney Disease (ESRD), Hypertension, Peritoneal Dialysis
Conditions
Keywords
Hypertension, Thiazides diuretics, End stage kidney disease, Peritoneal dialysis
Brief summary
To evaluate the blood pressure lowering effects of thiazide diuretics in patients on peritoneal dialysis
Detailed description
This prospective, single-center treatment-withdrawal crossover study enrolled 10 patients on chronic peritoneal dialysis (PD) and uncontrolled hypertension (SBP \>140 mmHg and/or DBP \>90 mmHg). Following written informed consent, participants entered the treatment arm, receiving oral hydrochlorothiazide once daily on top of their standard of treatment for 90 days. This was followed by a 14-day washout period, after which participants entered a 90-day control period.
Interventions
Thiazides diuretics
Sponsors
Study design
Intervention model description
Following written informed consent, participants entered the treatment arm, receiving oral hydrochlorothiazide once daily on top of their standard of treatment for 90 days. This was followed by a 14-day washout period, after which participants entered a 90-day control period.
Eligibility
Inclusion criteria
* Patients on chronic peritoneal dialysis, with uncontrolled hypertension (SBP \>140 mmHg and/or DBP \>90 mmHg)
Exclusion criteria
* Patients with a life expectancy of less than 3 months, planned conversion to hemodialysis, or scheduled kidney transplantation within 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in systolic and diastolic blood pressure | 90 days |
Secondary
| Measure | Time frame |
|---|---|
| Changes in body weight | 90 days |
| Changes in body composition measured by bio impedance spectroscopy | 90 days |
| Change in urinary fractional excretion of sodium | 90 days |
Countries
Hong Kong