ArticleBMC nephrology2012
The effects of living distantly from peritoneal dialysis units on peritonitis risk, microbiology, treatment and outcomes: a multi-centre registry study.
Article in BMC nephrology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Pooled it
- The effect of rural and urban life on peritonitis rates in chronic peritoneal patients.Renal failure · 2023Article
- Growing a peritoneal dialysis program in Palestine from zero to 178 patients in 5 years: a single-center experience.BMC nephrology · 2023Article
- Is regular in-person recall superior to non-regular in-person recall in clinical outcomes among new patients undergoing peritoneal dialysis.Renal failure · 2022Article
- The Impact of Preoperative Risk Factors on Peritoneal Dialysis-Related Peritonitis: A Single-Center Prospective Study in Japan.Medicina (Kaunas, Lithuania) · 2022Observational
- Peritoneal transport status and first episode of peritonitis: a large cohort study.Renal failure · 2021Article
- Changes in the worldwide epidemiology of peritoneal dialysis.Nature reviews. Nephrology · 2017Review
- Continuous Quality Improvement Initiatives to Sustainably Reduce Peritoneal Dialysis-Related Infections in Australia and New Zealand.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis · 2016Review
- Association between medical insurance type and survival in patients undergoing peritoneal dialysis.BMC nephrology · 2015Observational
- Regional differences in renal replacement therapy in northern Norway 2000-2012.International journal of circumpolar health · 2015Article
- Peritoneal dialysis outcomes of Indigenous Australian patients of remote Kimberley origin.The Australian journal of rural health · 2014Article
- Peritoneal dialysis in rural Australia.BMC nephrology · 2013Article
- Association of biocompatible peritoneal dialysis solutions with peritonitis risk, treatment, and outcomes.Clinical journal of the American Society of Nephrology : CJASN · 2013Observational
- Article
- Center-Specific Factors Associated with Peritonitis Risk-A Multi-Center Registry Analysis.Peritoneal dialysis international : journal of the International Society for Peritoneal DialysisArticle
- Outcomes of a peritoneal dialysis program in remote communities within Colombia.Peritoneal dialysis international : journal of the International Society for Peritoneal DialysisObservational
- Dialysis modality after renal transplant failure.Peritoneal dialysis international : journal of the International Society for Peritoneal DialysisArticle
- Is female sex really a risk factor for infectious death in peritoneal dialysis?Peritoneal dialysis international : journal of the International Society for Peritoneal DialysisArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the study was to determine whether distance between residence and peritoneal dialysis (PD) unit influenced peritonitis occurrence, microbiology, treatment and outcomes.
methodsThe study included all patients receiving PD between 1/10/2003 and 31/12/2008, using ANZDATA Registry data.
results365 (6%) patients lived ≥100 km from their nearest PD unit (distant group), while 6183 (94%) lived <100 km (local group). Median time to first peritonitis in distant patients (1.34 years, 95% CI 1.07-1.61) was significantly shorter than in local patients (1.68 years, 95% CI 1.59-1.77, p = 0.001), whilst overall peritonitis rates were higher in distant patients (incidence rate ratio 1.32, 95% CI 1.20-1.46). Living ≥100 km away from a PD unit was independently associated with a higher risk of S. aureus peritonitis (adjusted odds ratio [OR] 1.64, 95% CI 1.09-2.47). Distant patients with first peritonitis episodes were less likely to be hospitalised (64% vs 73%, p = 0.008) and receive antifungal prophylaxis (4% vs 10%, p = 0.01), but more likely to receive vancomycin-based antibiotic regimens (52% vs 42%, p < 0.001). Using multivariable logistic regression analysis of peritonitis outcomes, distant patients were more likely to be cured with antibiotics alone (OR 1.55, 95% CI 1.03-2.24). All other outcomes were comparable between the two groups.
conclusionsLiving ≥100 km away from a PD unit was associated with increased risk of S. aureus peritonitis, modified approaches to peritonitis treatment and peritonitis outcomes that were comparable to, or better than patients living closer to a PD unit. Staphylococcal decolonisation should receive particular consideration in remote living patients.
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