Importance of non-medical reasons for dropout in patients on peritoneal dialysis.
Clin Exp Nephrol
; 24(11): 1050-1057, 2020 Nov.
Article
in En
| MEDLINE
| ID: mdl-32757098
ABSTRACT
BACKGROUND:
To describe the associated factors for non-medical reasons for dropout in peritoneal dialysis (PD) patients.METHODS:
A retrospective cohort study was performed using registry data of adult patients commencing PD as their initial renal replacement therapy in one hospital-facilitated PD center in Taiwan between 2014 and 2018. The collected data included socio-demographics and relevant medical and PD-related parameters. Kaplan-Meier analysis was used to determine the impact of non-medical reasons and medical reasons on PD dropout.RESULTS:
The analysis included 224 PD patients, of whom 37 dropped out for non-medical reasons and 187 for medical reasons during the study period. There was significant difference between the two cohorts in age (62.3 years vs. 56.1 years, P = 0.010) and PD vintage (median 3.4 years vs. 4.8 years, P = 0.001). Diabetes was more predominant in the cohort for non-medical reasons than in the one for medical reasons (54.1% vs. 27.3% respectively, P = 0.001). In non-medical reason cohort, two leading reasons given for dropping out were lacking of caregivers (n = 12) and losing confidence (n = 10), whereas PD-related peritonitis (n = 101) was the main medical reason for PD dropout. Using Kaplan-Meier curve analysis, patients in the non-medical reason cohort demonstrated higher cumulative dropout rate compared to patients in the medical reason cohort during a 10-year period (P < 0.001).CONCLUSIONS:
The main characteristics of PD dropout patients for non-medical reasons are age, diabetes, patients' perception and caregiver support.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Dropouts
/
Social Support
/
Attitude
/
Peritoneal Dialysis
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Clin Exp Nephrol
Journal subject:
NEFROLOGIA
Year:
2020
Type:
Article
Affiliation country:
China