Study IDs Factors Linked to Risk for Transfer From Peritoneal Dialysis to Hemodialysis
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.
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.
Posted February 2025
Read this next
Suboptimal Dialysis Initiation Common in Patients With Advanced CKD
FRIDAY, July 25, 2025 -- Suboptimal dialysis initiation, typically defined as dialysis initiation during a hospitalization and/or with a central venous catheter, is common among...
Standardization Needed for Dialysis Initiation in Pregnancy
WEDNESDAY, July 23, 2025 -- The initiation of dialysis in women with chronic kidney disease during pregnancy varies by clinical practice, signaling a need for standardized care in...
Public Health Response Data Show Success of Standard Infection Control Measures for Dialysis
MONDAY, July 14, 2025 -- Adherence to standard dialysis infection prevention and control (IPC) measures enabled safe provision of dialysis to patients with Candida auris...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.