ArticlePeritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
Lower education level is a major risk factor for peritonitis incidence in chronic peritoneal dialysis patients: a retrospective cohort study with 12-year follow-up.
Article in Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Global, Regional, and Country Incidence of Peritoneal Dialysis-Associated Peritonitis in the Contemporary Peritoneal Dialysis Practice: A Systematic Review and Meta-Analysis.Medical sciences (Basel, Switzerland) · 2026Pooled it
- Development and validation of a nomogram for peritoneal dialysis-associated peritonitis.Renal failure · 2026Article
- Article
- Surgical risk factors for technical survival of peritoneal dialysis catheters.Langenbeck's archives of surgery · 2025Article
- Education and employment outcomes in pediatric chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2024Review
- Patient education interventions for haemodialysis and peritoneal dialysis catheter care: An integrative review.International journal of nursing studies advances · 2023Review
- Growing a peritoneal dialysis program in Palestine from zero to 178 patients in 5 years: a single-center experience.BMC nephrology · 2023Article
- Peritoneal transport status and first episode of peritonitis: a large cohort study.Renal failure · 2021Article
- Effects of educational practices on the peritonitis risk in peritoneal dialysis: a retrospective cohort study with data from the French peritoneal Dialysis registry (RDPLF).BMC nephrology · 2020Observational
- Peritonitis outcomes in patients with HIV and end-stage renal failure on peritoneal dialysis: a prospective cohort study.BMC nephrology · 2017Article
- Continuous ambulatory peritoneal dialysis: perspectives on patient selection in low- to middle-income countries.International journal of nephrology and renovascular disease · 2017Review
- Article
- Risk factors and outcomes of high peritonitis rate in continuous ambulatory peritoneal dialysis patients: A retrospective study.Medicine · 2016Observational
- Risk factors for the first episode of peritonitis in Southern Chinese continuous ambulatory peritoneal dialysis patients.PloS one · 2014Article
- Is female sex really a risk factor for infectious death in peritoneal dialysis?Peritoneal dialysis international : journal of the International Society for Peritoneal DialysisArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeritoneal dialysis (PD)-related peritonitis remains an important complication in PD patients, potentially causing technique failure and influencing patient outcome. To date, no comprehensive study in the Taiwanese PD population has used a time-dependent statistical method to analyze the factors associated with PD-related peritonitis.
methodsOur single-center retrospective cohort study, conducted in southern Taiwan between February 1999 and July 2010, used time-dependent statistical methods to analyze the factors associated with PD-related peritonitis.
resultsThe study recruited 404 PD patients for analysis, 150 of whom experienced at least 1 episode of peritonitis during the follow-up period. The incidence rate of peritonitis was highest during the first 6 months after PD start. A comparison of patients in the two groups (peritonitis vs null-peritonitis) by univariate analysis showed that the peritonitis group included fewer men (p = 0.048) and more patients of older age (≥65 years, p = 0.049). In addition, patients who had never received compulsory education showed a statistically higher incidence of PD-related peritonitis in the univariate analysis (p = 0.04). A proportional hazards model identified education level (less than elementary school vs any higher education level) as having an independent association with PD-related peritonitis [hazard ratio (HR): 1.45; 95% confidence interval (CI): 1.01 to 2.06; p = 0.045). Comorbidities measured using the Charlson comorbidity index (score >2 vs ≤2) showed borderline statistical significance (HR: 1.44; 95% CI: 1.00 to 2.13; p = 0.053).
conclusionsA lower education level is a major risk factor for PD-related peritonitis independent of age, sex, hypoalbuminemia, and comorbidities. Our study emphasizes that a comprehensive PD education program is crucial for PD patients with a lower education level.
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