https://scholars.lib.ntu.edu.tw/handle/123456789/531784
標題: | Outcome comparisons between patients on peritoneal dialysis with and without polycystic kidney disease | 作者: | Yang J.-Y. Chen L. CHIA-TER CHAO Peng Y.-S. CHIH-KANG CHIANG Kao T.-W. KUO-LIONG CHIEN Wu H.-Y. JENQ-WEN HUANG KUAN-YU HUNG |
公開日期: | 2015 | 出版社: | Lippincott Williams and Wilkins | 卷: | 94 | 期: | 48 | 起(迄)頁: | e2166 | 來源出版物: | Medicine (United States) | 摘要: | Polycystic kidney disease (PCKD) is the most common hereditary cause of end-stage renal disease. The complications associated with this disease may affect the performance of peritoneal dialysis (PD). The aim of this study was to compare the outcomes between patients on PD with PCKD and without PCKD. We extracted an incident cohort of adult (?20 years old) patients on long-term PD from the Taiwan National Health Insurance Research Database. Patients with PCKD were identified by specific diagnosis codes. We recorded baseline comorbidities, socioeconomic status, timing of referral to a nephrologist, prior hemodialysis history before PD, and the type of PD modalities. We compared the risk of death, technique failure, peritonitis, hospitalization, and outpatient visiting as well as overall medical expenditure between the patients with PCKD and a groups of patients without PCKD who were propensity-score matched (1: 3). The analysis was carried out by various Cox regression models that considered competing risk and time-varying coefficients. We enrolled 139 patients with PCKD and 7739 patients without PCKD who started long-term PD between 1999 and 2010. Patients with PCKD were less comorbid and more often treated with automated PD. In the propensity-score matched analysis, both overall survival and technique survival did not differ between the patients and the result was similar for hospitalization and peritonitis after adjusting for the application of automated PD. Furthermore, the overall annual medical expenditures were similar between the patients with and without PCKD. PD patients with PCKD are comparable to PD patients without PCKD in terms of risk of death, peritonitis, technique failure, and hospitalization in the present study. Furthermore, the medical expenses of the 2 groups after initiation of PD are also indistinguishable. Copyright ? 2015 Wolters Kluwer Health, Inc. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84952305736&doi=10.1097%2fMD.0000000000002166&partnerID=40&md5=0cfd2e2f56c44408154c287e3333effe https://scholars.lib.ntu.edu.tw/handle/123456789/531784 |
ISSN: | 0025-7974 | DOI: | 10.1097/MD.0000000000002166 | SDG/關鍵字: | abdominal pressure; adult; cohort analysis; comorbidity; comparative effectiveness; Conference Paper; controlled study; female; health care cost; hernia; hospitalization; human; kidney polycystic disease; kidney transplantation; major clinical study; male; middle aged; outcome assessment; overall survival; patient referral; peritoneal dialysis; peritonitis; priority journal; risk assessment; social status; Taiwan; age; aged; economics; mortality; peritoneal dialysis; peritonitis; Polycystic Kidney Diseases; propensity score; retrospective study; risk factor; sex difference; socioeconomics; statistics and numerical data; time factor; Adult; Age Factors; Aged; Cohort Studies; Comorbidity; Female; Health Expenditures; Hospitalization; Humans; Male; Middle Aged; Peritoneal Dialysis; Peritonitis; Polycystic Kidney Diseases; Propensity Score; Retrospective Studies; Risk Factors; Sex Factors; Socioeconomic Factors; Taiwan; Time Factors |
顯示於: | 醫學系 |
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