Abstract
Introduction: Peritoneal dialysis (PD) and haemodialysis (HD)
are two complementary and non-competitive renal replacement
therapy (RRT). A patient can be transferred from one technique to the
other. The objective of this study was to assess the reasons for
transferring patients from PD to HD and to follow their outcome.
Patients and Methods: This is a 16-year descriptive and
analytical retrospective study (March 1, 2004 - August 31, 2020)
conducted at the PD unit of the Aristide Le Dantec University Hospital
in Dakar. Were included, patients on PD for at least 30 days,
over 18 years of age and permanently transferred to HD. The probability
of survival for any duration of post-transfer follow-up was
estimated by the Kaplan-Meier method.
Results: The analysis covered 98 out of 113 cases. The mean age
of the patients was 45.2 ± 14.09 years at the initiation of PD
and 47 ± 13.91 years at the time of transfer, with a sex ratio of 0.66.
The mean duration in PD was 19.9 ± 17.25 months [range,
1.0-90.0 months]. The transfer to HD concerned 73.5% of patients in the
first two years. The reasons for transfer were mainly
associated with infection (82.7%), mechanical complications (23.5%),
social reasons (12.2%) and inadequate dialysis (6.1%). It
was programmed in 11.4% of cases and 6% of patients had a permanent
approach. At the endpoint date, the mean duration in
hemodialysis was 43.3 months with 42.8% of patients still in HD. There
was a kidney transplant patient; a return to PD. Mortality
was 34.6%. The mean HD survival was 126 months. There was a
statistically significant relationship between infection as a reason
for transfer and mortality (p = 0.047).
Conclusion: The main reasons for transferring PD to hemodialysis identified in the literature are found in our context. This
transfer must be anticipated to reduce morbidity and mortality.
Read more about this article: https://lupinepublishers.com/urology-nephrology-journal/fulltext/reasons-and-outcome-of-patients-after-permanent-transfer-from-peritoneal-dialysis-to-hemodialysis-a-review-of-16-years-of-experience-in-senegal.ID.000161.php
