Observational studyInternational urology and nephrology2025
Prognostic value of high intraperitoneal pressure in patients on peritoneal dialysis.
Observational study in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPeritoneal dialysis (PD) is associated with an increase of intraperitoneal pressure (IPP) which can cause alterations in hemodynamic, abdominal wall, and peritoneal water transport. The hypothesis of this study is that elevated IPP in DP is related to technique failure; defined as death while on PD or switch to hemodialysis.
methodsA prospective, single-center observational study was performed of incident patients on PD from January 2010 to December 2021. IPP was measured using the Durand method 3 months after initiating the technique and its relationship with PD outcome was studied, as well as the IPP value that best discriminates technique failure.
resultsA total of 124 patients were included, 68% were males, mean age 62.1 ± 15.2 years, body mass index (BMI) 27.7 ± 4.8 kg/m
conclusionElevated IPP is an independent factor of technique failure. The IPP valued that optimized sensitivity and specificity for predicting technique failure was 16 cm H
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