Skip to main content

Study IDs Factors Linked to Risk for Transfer From Peritoneal Dialysis to Hemodialysis

Medically reviewed by Carmen Pope, BPharm. Last updated on Feb 26, 2025.

By Elana Gotkine HealthDay Reporter

WEDNESDAY, Feb. 26, 2025 -- Nurse assistance is associated with a lower risk for transfer from peritoneal dialysis (PD) to hemodialysis (HD) for infection in the first 18 months and for adequacy issues after six months, according to a study published online Feb. 7 in Kidney360.

Nanti E. Adoukonou, from Centre François Baclesse in Caen, France, and colleagues compared the risks for the different reasons for transfer to HD in PD patients according to use of assistance for PD care, PD modality, and suboptimal starter status in a retrospective study. The study included 15,974 PD patients from 170 PD units who started treatment between Jan. 1, 2002, and Dec. 31, 2018.

The researchers identified 6,835 deaths, 5,108 transfers to HD, and 3,092 renal transplantations. Nurse-assisted PD was associated with a reduced risk for transfer to HD for infection in the first 18 months and for adequacy issues after six months (cause-specific hazard ratio [HR], 0.51; 95 percent confidence interval [CI], 0.31 to 0.83 [before six months] and HR, 0.59; 95 percent CI, 0.51 to 0.70 [beyond 18 months]). A higher risk for transfer for mechanical issue was seen for continuous ambulatory PD (CAPD) than automated PD during the first 18 months (HR, 1.41; 95 percent CI, 1.00 to 1.99 [before six months]), but lower risks for adequacy, infectious, or mechanical issues were seen in association with CAPD after 18 months. A higher risk for transfer due to psychosocial challenges was seen with suboptimal starters in the first six months (HR, 1.70; 95 percent CI, 1.03 to 2.81).

"Recognizing these risk factors could help target specific patients with tailored preventive measures to reduce the risk of transfer for each particular cause," the authors write. "Further studies would be needed to explore the effect of such measures."

Several authors disclosed ties to the pharmaceutical industry.

Abstract/Full Text

Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.

© 2025 HealthDay. All rights reserved.

Read this next

Higher Temperatures Tied to Greater Risk for Mortality in People Undergoing Dialysis

WEDNESDAY, April 23, 2025 -- Moderately elevated ambient temperature is associated with increased mortality in patients undergoing dialysis, according to a study published in the...

Inpatient Dialysis Initiation Higher for Patients With CKD and Heart Failure

FRIDAY, March 7, 2025 -- Patients with chronic kidney disease (CKD) and heart failure have higher rates of inpatient dialysis initiation than those without heart failure...

Tea Consumption Can Lower Mortality in Chronic Kidney Disease

FRIDAY, Jan. 17, 2025 -- Tea consumption offers protective effects on mortality among patients with chronic kidney disease (CKD), according to a study published online Jan. 13 in...

More news resources

Subscribe to our newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.