Use of home hemodialysis after peritoneal dialysis technique failure.

摘要

This retrospective observationalcohortstudyinclud-ed all patients who experienced PD TF at our center between 2000 and 2010. Patients who died or underwent transplantation while receiving PD were excluded. Demographic data and comorbidities were collected using an electronic clinical database that is maintained for all chronic kidney disease patients at our institution. The Davies comorbidity index was used to quantify comorbidities (10). Causes of PD TF were categorized as infection-related, ultrafiltration failure (based on clinical evaluation), decreased small-solute clearance, or other. Psychosocial data, including languages spoken, immigration status, and living arrangements, were collected using structured one-on-one patient interviews conducted by the home dialysis nurses. Distance from the facility was calculated using Web-based software that compared the postal code of the facility with each patient's residence postal code. Approval was obtained from the local institutional research ethics board.