Continuous ambulatory peritoneal dialysis: an option in the developing world?

Zent R, Myers JE, Donald D, Rayner BL
Perit Dial Int. 1994 14 (1): 48-51

PMID: 8312414

OBJECTIVE - To evaluate specified biomedical, socio-economic, and psychosocial criteria as predictors of therapeutic success to optimize patient selection for continuous ambulatory peritoneal dialysis (CAPD) in a developing country.

DESIGN - A retrospective cohort study investigating the relationship between episodes of peritonitis and exitsite infection, and predetermined biomedical, socioeconomic, and psychosocial data.

SETTING - A CAPD unit in a large tertiary care teaching hospital.

PATIENTS - All 132 patients entering the CAPD program between 1987 and 1991.

RESULTS - Overall mean survival time on CAPD was 17.3 months. Peritonitis rates were high, especially among blacks. Multivariate analysis demonstrated that increased peritonitis rates were associated with age, black race, diabetes, and strongly so with several psychosocial factors. Because being black was strongly linked to poor socioeconomic conditions, repeat analysis excluding blacks showed the same associations with the above variables, but, additionally, several socioeconomic factors were associated with high peritonitis rates. No significant explanatory variables were shown for exit-site infections.

CONCLUSIONS - The association of biomedical, socioeconomic, and psychosocial variables with high peritonitis rates has important implications for the selection of patients for CAPD in this setting.

MeSH Terms (23)

Adult African Americans African Continental Ancestry Group Age Factors Cohort Studies Dependent Personality Disorder Developing Countries Diabetes Mellitus European Continental Ancestry Group Female Health Care Rationing Housing Humans Male Middle Aged Motivation Peritoneal Dialysis, Continuous Ambulatory Peritonitis Renal Dialysis Retrospective Studies Risk Factors Socioeconomic Factors South Africa

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