ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2022
Similar survival on home haemodialysis and automated peritoneal dialysis: an inception cohort study.
Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- To Explore the Application of PDCA in Hemodialysis Center and Its Effect on the Maintenance of Internal Fistula.BioMed research international · 2022Trial
- A combined nutritional index and mortality in patients with peritoneal dialysis.Renal failure · 2025Article
- Clinical uremic syndrome scores and mortality in peritoneal dialysis: a multi-center retrospective study.Scientific reports · 2025Article
- Risk of Major Adverse Cardiovascular Events in Home Dialysis Compared With In-Center Hemodialysis.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- An update on absolute and relative indications for dialysis treatment modalities.Clinical kidney journal · 2023Review
- Choice of the Dialysis Modality: Practical Considerations.Journal of clinical medicine · 2023Review
- Apolipoprotein A-I attenuates peritoneal fibrosis associated with peritoneal dialysis by inhibiting oxidative stress and inflammation.Frontiers in pharmacology · 2023Article
- Severe infections in peritoneal dialysis and home hemodialysis patients: An inception cohort study.PloS one · 2023Article
- Peritoneal Dialysis for Potential Kidney Transplant Recipients: Pride or Prejudice?Medicina (Kaunas, Lithuania) · 2022Review
- Albumin to Total Cholesterol Ratio and Mortality in Peritoneal Dialysis.Frontiers in medicine · 2022Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral studies have shown superior survival of patients on home haemodialysis (HD) compared with peritoneal dialysis (PD), but patients on automated PD (APD) and continuous ambulatory PD (CAPD) have not been considered separately. As APD allows larger fluid volumes and may be more efficient than CAPD, we primarily compared patient survival between APD and home HD.
methodsAll adult patients who started kidney replacement therapy (KRT) between 2004 and 2017 in the district of Helsinki-Uusimaa in Finland and who were on one of the home dialysis modalities at 90 days from starting KRT were included. We used intention-to-treat analysis. Survival of home HD, APD and CAPD patients was studied using Kaplan-Meier curves and Cox regression with adjustment for propensity scores that were based on extensive data on possible confounding factors.
resultsThe probability of surviving 5 years was 90% for home HD, 88% for APD and 56% for CAPD patients. After adjustment for propensity scores, the hazard ratio of death was 1.1 [95% confidence interval (CI) 0.52-2.4] for APD and 1.6 (95% CI 0.74-3.6) for CAPD compared with home HD. Censoring at the time of kidney transplantation (KTx) or at transfer to in-centre HD did not change the results. Characteristics of home HD and APD patients at the start of dialysis were similar, whereas patients on CAPD had higher median age and more comorbidities and received KTx less frequently.
conclusionsHome HD and APD patients had comparable characteristics and their survival appeared similar.
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