Post on 02-Jul-2015
Danish National Peritonitis Survey
James Heaf for the Danish Society of Nephrology National Registry, Herlev Hospital, University of Copenhagen
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P a t i e n t S u r v i v a l i n P e r i t o n e a l D i a l y s i s 1 9 9 0 - 2 0 0 6
9 0 - 9 5 9 5 - 0 0 2 0 0 0 -0 , 0 0 , 5 1 , 0 1 , 5 2 , 0 2 , 5 3 , 0 3 , 5 4 , 0
Y e a r s
0 , 3
0 , 4
0 , 5
0 , 6
0 , 7
0 , 8
0 , 9
1 , 0
Cu
mu
lativ
e P
rop
ort
ion
Su
rviv
ing
P D T e c h n i q u e S u r v i v a l 1 9 9 0 - 2 0 0 6
9 0 - 9 5 9 5 - 0 0 2 0 0 0 -0 , 0 0 , 5 1 , 0 1 , 5 2 , 0 2 , 5 3 , 0 3 , 5 4 , 0
Y e a r s
0 , 4
0 , 5
0 , 6
0 , 7
0 , 8
0 , 9
1 , 0
Cu
mu
lativ
e P
rop
ort
ion
Su
rviv
ing
T e m p o r a r y s w i t c h e s t o H D e x c l u d e d
P D T e c h n i q u e a n d P a t i e n t S u r v i v a l
9 0 - 9 5 9 5 - 0 0 2 0 0 0 -0 , 0 0 , 5 1 , 0 1 , 5 2 , 0 2 , 5 3 , 0 3 , 5 4 , 0
Y e a r s
0 , 1
0 , 2
0 , 3
0 , 4
0 , 5
0 , 6
0 , 7
0 , 8
0 , 9
1 , 0
Cu
mu
lativ
e P
rop
ort
ion
Su
rviv
ing
What happens to PD Patients?
HD 38%
Transplant 34%
Death 28%
1990-2005
0
10
20
30
40
50
60
%/Y
ear
2000 2001 2002 2003 2004 2005 All
Year
Peritonitis Incidence 2000-2005
Peritonitis by Center 2000-5
0 20 40 60 80
RigshospitalHerlev
HillerødRoskildeHolbæk
Nykøbing FOdense
SønderborgEsbjerg
FredericiaHolsterbro
SkejbyViborg
Aalborg
%/Year
a
b
a: 2002-5b: 2001-5
L a s t P e r i t o n i t i s b e f o r e P D C e s s a t i o n
T e m p o r a r y H D
P e r m a n e n t H D0 1 2 3 4 5 6
T i m e b e f o r e P D C e s s a t i o n ( m o n t h s )
0 , 6 0
0 , 6 5
0 , 7 0
0 , 7 5
0 , 8 0
0 , 8 5
0 , 9 0
0 , 9 5
1 , 0 0
Cum
ulat
ive
Pro
port
ion
Sur
vivi
ng
D e a t h
3% of all PD patients diein relation to peritonitis.8% of all PD patients change permanently to HD in relationto peritonitis.
T i m e t o 1 s t , 2 n d a n d 3 r d P e r i t o n i t i s
0 1 2 3 4
Y e a r s
0 , 2
0 , 3
0 , 4
0 , 5
0 , 6
0 , 7
0 , 8
0 , 9
1 , 0
Cum
ulat
ive
Pro
port
ion
Sur
vivi
ng
First
Second
Third
T i m e b e t w e e n P e r i t o n i t i s E p i s o d e s
0 , 0 0 , 5 1 , 0 1 , 5 2 , 0 2 , 5 3 , 0
S u r v i v a l T i m e ( y e a r s )
0 , 2
0 , 3
0 , 4
0 , 5
0 , 6
0 , 7
0 , 8
0 , 9
1 , 0
Cu
mu
lativ
e P
rop
ort
ion
Su
rviv
ing
T i m e t o 1 s t p e r i t o n i t i s
1 s t t o 2 n d P e r i t o n i t i s
2 n d t o 3 r d P e r i t o n i t i s
Peritonitis Frequency/YearA l l P D C o u r s e s
0
0 - 0 , 5
0 , 5 - 1
1 - 2
2 - 3
> 3
P D C o u r s e s > 1 y e a r
0
0 - 0 , 5
0 , 5 - 1
1 - 2
2 - 3
P D C o u r s e s > 2 y e a r s
0
2 - 3
1 - 2
0 , 5 - 1
0 - 0 , 5
P D C o u r s e s > 3 Y e a r s
0
2 - 31 - 2
0 , 5 - 1
0 - 0 , 5
APD vs. CAPD
0
10
20
30
40
50
60
70
%/Year
CAPD APD
56
43
N o E f f e c t o f R e n a l D i a g n o s i s o nP e r i t o n i t i s - f r e e S u r v i v a l
S m a l l G N C I N P o l y c y s t i c D i a b e t i c H y p e r t e n s i v e O t h e r0 , 0 0 , 5 1 , 0 1 , 5 2 , 0
Y e a r s
0 , 4
0 , 5
0 , 6
0 , 7
0 , 8
0 , 9
1 , 0
Cu
mu
lativ
e P
rop
ort
ion
Su
rviv
ing
N o E f f e c t o f S e x o n P e r i t o n i t i s - f r e eS u r v i v a l
M a l e F e m a l e0 1 2 3 4
Y e a r s
0 , 0
0 , 1
0 , 2
0 , 3
0 , 4
0 , 5
0 , 6
0 , 7
0 , 8
0 , 9
1 , 0
Cu
mu
lativ
e P
rop
ort
ion
Su
rviv
ing
E f f e c t o f A g e o n P e r i t o n i t i s - f r e e S u r v i v a l
< 3 0 3 0 - 4 0 4 0 - 5 0 5 0 - 6 0 6 0 - 7 0 > 7 00 , 0 0 , 5 1 , 0 1 , 5 2 , 0
T i m e
0 , 5
0 , 6
0 , 7
0 , 8
0 , 9
1 , 0
Cu
mu
lativ
e P
rop
ort
ion
Su
rviv
ing
p < 0 . 0 5