ArticlePloS one2017
Lower Education Level Is a Risk Factor for Peritonitis and Technique Failure but Not a Risk for Overall Mortality in Peritoneal Dialysis under Comprehensive Training System.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic status and mortality among dialysis patients: a systematic review and meta-analysis.International urology and nephrology · 2019Pooled it
- Peritoneal Dialysis-Associated Peritonitis in 2 Patients with Bartter Syndrome and End-Stage Kidney Disease: A Case Report.Kidney & blood pressure research · 2026Article
- Prevalence, microbiology, and outcome of peritonitis in peritoneal dialysis patients in vietnam: a multicenter study.BMC nephrology · 2025Article
- Machine learning algorithms for the prediction of adverse prognosis in patients undergoing peritoneal dialysis.BMC medical informatics and decision making · 2024Article
- Mitigating Social Isolation Among Peritoneal Dialysis Patients: The Impact of Educational Level, Physical Activity, and Familial Support.Risk management and healthcare policy · 2024Article
- Technique failure in peritoneal dialysis-related peritonitis: risk factors and patient survival.Renal failure · 2023Article
- Patient education interventions for haemodialysis and peritoneal dialysis catheter care: An integrative review.International journal of nursing studies advances · 2023Review
- Incidence and Risk Factors Associated with Technique Failure in the First Year of Peritoneal Dialysis: A Single Center Retrospective Cohort Study in Southern China.BMC nephrology · 2022Article
- Risk factors and outcomes of cardiovascular disease readmission within the first year after dialysis in peritoneal dialysis patients.Renal failure · 2021Article
- Evolving outcomes of peritoneal dialysis: secular trends at a single large center over three decades.Kidney research and clinical practice · 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
- N-Terminal Pro-Brain Natriuretic Peptide Predicts Long-Term Technique Failure in Patients Undergoing Peritoneal Dialysis.Journal of clinical medicine · 2018Article
- Clinical Characteristics, Patient and Technique Survival in Elderly Patients on Peritoneal Dialysis.Indian journal of nephrologyArticle
- Transition Between Different Renal Replacement Modalities: Gaps in Knowledge and Care-The Integrated Research Initiative.Peritoneal dialysis international : journal of the International Society for Peritoneal DialysisReview
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11 authors.
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Abstract
backgroundLower education level could be a risk factor for higher peritoneal dialysis (PD)-associated peritonitis, potentially resulting in technique failure. This study evaluated the influence of lower education level on the development of peritonitis, technique failure, and overall mortality.
methodsPatients over 18 years of age who started PD at Seoul National University Hospital between 2000 and 2012 with information on the academic background were enrolled. Patients were divided into three groups: middle school or lower (academic year≤9, n = 102), high school (9<academic year≤12, n = 229), and higher than high school (academic year>12, n = 324). Outcomes were analyzed using Cox proportional hazards models and competing risk regression.
resultsA total of 655 incident PD patients (60.9% male, age 48.4±14.1 years) were analyzed. During follow-up for 41 (interquartile range, 20-65) months, 255 patients (38.9%) experienced more than one episode of peritonitis, 138 patients (21.1%) underwent technique failure, and 78 patients (11.9%) died. After adjustment, middle school or lower education group was an independent risk factor for peritonitis (adjusted hazard ratio [HR], 1.61; 95% confidence interval [CI], 1.10-2.36; P = 0.015) and technique failure (adjusted HR, 1.87; 95% CI, 1.10-3.18; P = 0.038), compared with higher than high school education group. However, lower education was not associated with increased mortality either by as-treated (adjusted HR, 1.11; 95% CI, 0.53-2.33; P = 0.788) or intent-to-treat analysis (P = 0.726).
conclusionsAlthough lower education was a significant risk factor for peritonitis and technique failure, it was not associated with increased mortality in PD patients. Comprehensive training and multidisciplinary education may overcome the lower education level in PD.
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