Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.12530/57536
Title: Is peritoneal dialysis suitable technique CKD patients over 65 years? A prospective multicenter study
Authors: 
Filiation: 
[Portoles, Jose] Hosp Univ Puerta de Hierro, Serv Nefrol, Madrid, Spain
[Lacoba, Enrique] Hosp Univ Puerta de Hierro, Serv Nefrol, Madrid, Spain
[Lopez-Sanchez, Paula] Hosp Univ Puerta de Hierro, Serv Nefrol, Madrid, Spain
[Botella, Mario] Hosp Univ Puerta de Hierro, Serv Nefrol, Madrid, Spain
[Janeiro, Dario] Hosp Univ Puerta de Hierro, Serv Nefrol, Madrid, Spain
[Portoles, Jose] REDInREN RETIC ISCIII 016 009, Madrid, Spain
[Vega, Almudena] REDInREN RETIC ISCIII 016 009, Madrid, Spain
[Lacoba, Enrique] REDInREN RETIC ISCIII 016 009, Madrid, Spain
[Yuste, Claudia] REDInREN RETIC ISCIII 016 009, Madrid, Spain
[Martin Cleary, Catalina] REDInREN RETIC ISCIII 016 009, Madrid, Spain
[Auxiliadora Bajo, M.] REDInREN RETIC ISCIII 016 009, Madrid, Spain
[Janeiro, Dario] REDInREN RETIC ISCIII 016 009, Madrid, Spain
[Vega, Almudena] Hosp Univ Gregorio Maranon, Serv Nefrol, Madrid, Spain
[Yuste, Claudia] Hosp Univ Doce Octubre, Serv Nefrol, Madrid, Spain
[Martin Cleary, Catalina] Fdn Jimenez Diaz, Serv Nefrol, Madrid, Spain
[Sanz Ballesteros, Sandra] Hosp Univ Clin, Serv Nefrol, Valladolid, Spain
[Gonzalez Sanchidrian, Silvia] Hosp Univ San Pedro de Alcantara, Serv Nefrol, Caceres, Spain
[Sanchez Garcia, Luisa] Hosp Univ Rio Hortega, Serv Nefrol, Valladolid, Spain
[Carreno, Agustin] Hosp Univ Ciudad Real, Serv Nefrol, Ciudad Real, Spain
[Auxiliadora Bajo, M.] Hosp Univ La Paz, Serv Nefrol, Madrid, Spain
[Tato, A.] HUF Alcorcon, Alcorcon, Spain
[Molano, Bernal] HUF Alcorcon, Alcorcon, Spain
[Martin Cleary, C.] Fdn Jimenez Diaz, Madrid, Spain
[Escribano, A.] Fdn Jimenez Diaz, Madrid, Spain
[Vian, J.] Hosp Clin San Carlos, Madrid, Spain
[Sanz Ballesteros, S.] Hosp Clin Valladolid, Valladolid, Spain
[Vega, A.] HGU Gregorio Maranon, Madrid, Spain
[Martinez, A.] HU Puerta Hierro, Madrid, Spain
[Campos, J.] HU Puerta Hierro, Madrid, Spain
[Bajo, M. A.] HU La Paz, La Paz, Spain
[Del Peso, G.] HU La Paz, La Paz, Spain
[Rodriguez Palomares, J. R.] HGU Guadalajara, Guadalajara, Spain
[Carreno, A.] HG Ciudad Real, Ciudad Real, Spain
[Felipe, C.] HNS Sonsoles, Avila, Spain
[Perpen, A.] HU De La Princesa, Madrid, Spain
[Hernandez, M. J.] HU De La Princesa, Madrid, Spain
[Moreno, F.] HU Principe Asturias, Madrid, Spain
[Sanchez Garcia, L.] HU Rio Hortega Valladolid, Valladolid, Spain
[Rivera Gorrin, M.] HU Ramon y Cajal, Madrid, Spain
[Burguera, A.] HU Ramon y Cajal, Madrid, Spain
[Fernandez-Reyes, M. J.] HG Segovia, San Rafael, Segovia, Spain
[Rodriguez, A.] HG Segovia, San Rafael, Segovia, Spain
[Hevia, C.] Hosp Infanta Sofia, Madrid, Spain
[Lorenzo, M.] Hosp Infanta Sofia, Madrid, Spain
[Paraiso, V] Hosp Henares, Madrid, Spain
[Gonzalez Sanchidrian, S.] Hosp San Pedro de Alcantara, Caceres, Spain
[Tornero, F.] Hosp Sureste, Madrid, Spain
[Hernandez, E.] Hosp Rio Carrion Palencia, Palencia, Spain
[Ortega, M.] Hosp Infanta Leonor, Madrid, Spain
[Campos Gutierrez, B.] Hosp Miguel Servet, Zaragoza, Spain
[Benito, J.] HU Infanta Cristina, Madrid, Spain
[Ortega, O.] Hosp Severo Ochoa Leganes, Madrid, Spain
[Herrero, J. C.] Hosp Severo Ochoa Leganes, Madrid, Spain
[Pizarro, M. S.] Hosp Rey Juan Carlos, Madrid, Spain
Keywords: 
Issue Date: 1-Sep-2021
Publisher: Soc espanola nefrologia dr rafael matesanz
Abstract: Background: Chronic kidney disease (CKD) is increasing in patients older than 65 years and is related to morbidity, frailty, and dependence. Peritoneal dialysis (PD) has classically been associated with young patients with an active life.Hypothesis: PD should be offered to patients over 65 years. We search for any unfavorable results that may advice not to recommend PD therapy for this group.Objective: To describe PD treatment and outcomes in patients > 65 years, to compare their results with patients 65 years, to compare their results with patients 65 years. The main reason was caregiver or patient fatigue (20.2%), and not technique failure (7.3%).Multivariate Cox regression analysis showed a relation (HR [95%CI]) between mortality and age > 65 years 2.4 [1.9-3.0]; DM 1.6 [1.3-2.1]; CV events 2.1 [1.7-2.7]. Multivariate Cox regression analysis identify a relation between technique failure and age > 65 years 1.5 [1.3-1.9]; DM 1.6 [1.3-1.9] and previous transplant 1.5 [1.2-2.0].Conclusion: Patients older than 65 years fulfilled PD adequacy criteria during the follow up. We believe PD is a valid option for patients older 65 years. It is necessary to try to prevent infections and patient/caregiver fatigue, to avoid HD transfer for reasons not related to technique failure. (C) 2021 Sociedad Espanola de Nefrologia. Published by Elsevier Espana, S.L.U.
URI: https://hdl.handle.net/20.500.12530/57536
ISSN: 0211-6995
Appears in Collections:Hospitales > H. U. Sureste > Artículos

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