ArticleKidney international reports2024
A Randomized Controlled Trial Comparing Automated Peritoneal Dialysis and Hemodialysis for Urgent-Start Dialysis in ESRD.
Article in Kidney international reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Impact of diabetes on survival and clinical outcomes in elderly patients receiving peritoneal dialysis.Renal failure · 2025Article
- Inhibition of cGAS-STING signaling pathway alleviates high glucose-induced mesothelial-mesenchymal transition in human peritoneal mesothelial cell line HMrSV5.In vitro cellular & developmental biology. Animal · 2025Article
- Automated peritoneal dialysis with shortened break-in periods in urgent-start scenarios: A retrospective cohort study.World journal of nephrology · 2025Article
- Clinical Inertia in Urgent Dialysis Initiation: Understanding and Overcoming Barriers to Change.Kidney360 · 2025Article
- Refining Urgent-Start Peritoneal Dialysis: Definitions, Techniques, and Efficacy for Broader Adoption.Kidney international reports · 2025Article
- COVID-19-induced extracorporeal circulation coagulation during continuous renal replacement therapy: A cross-sectional study.Medicine · 2024Observational
- Keep Calm and Dialyze On: Debunking the Myths of Peritoneal Dialysis Leaks.Kidney international reports · 2024Article
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Peritoneal dialysis (PD) shows promise for urgent-start dialysis in end-stage renal disease (ESRD), with automated PD (APD) having advantages. However, there is limited multicenter randomized controlled trial (RCT) evidence comparing APD with temporary hemodialysis (HD) for this indication in China. Methods: This multicenter RCT enrolled 116 patients with ESRD requiring urgent dialysis from 11 hospitals, randomized to APD or HD. Patients underwent a 2-week treatment with APD or HD via a temporary central venous catheter (CVC), followed by a maintenance PD. Outcomes were assessed over 12 months during 8 visits. The primary outcome was dialysis-related complications. Results: The 1-year incidence of dialysis-related complications was significantly lower in the APD group than in the HD group (25.9% vs. 56.9%, Conclusion: For patients with ESRD needing urgent initiation of dialysis, APD was associated with a lower incidence of dialysis-related complications and lower initial hospitalization costs compared with HD, with no significant differences in PD catheter survival rate, peritonitis-free survival rates, or patient survival rates. These findings can guide clinical decision-making for the optimal dialysis modality for patients requiring urgent dialysis initiation.
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