Danish National Peritonitis Survey
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Danish National Peritonitis Survey James Heaf for the Danish Society of Nephrology National Registry, Herlev Hospital, University of Copenhagen
Transcript of Danish National Peritonitis Survey
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
