Key result
Peritoneal dialysis patients undergoing cardiac surgery had similar 2-year survival (69% vs 66%, p=0.73) and fewer postoperative complications (28% vs 50%, p=0.046) compared to hemodialysis patients.
Why the study?
Does peritoneal dialysis compared to hemodialysis improve perioperative outcomes and 2-year survival in dialysis-dependent patients undergoing cardiac surgery?
Population
108 dialysis-dependent patients undergoing cardiac surgery
Comparison
Peritoneal dialysis (PD) at the time of surgery vs Hemodialysis matched 2:1 for age, diabetes…
Design
Cohort
Follow-up
2 years
Authors
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May support peritoneal dialysis to reduce complications in cardiac surgery; leaves open need for randomized confirmation.
Cohort (n=108)
No
Does peritoneal dialysis compared to hemodialysis improve perioperative outcomes and 2-year survival in dialysis-dependent patients undergoing cardiac surgery?
Absolute Event Rate: 69% vs 66%
p-value: p=0.73
Peritoneal dialysis patients undergoing cardiac surgery experience fewer early postoperative complications and similar 2-year survival compared to matched hemodialysis patients.
Kumar et al. (2011) conducted a cohort in Dialysis-dependent patients undergoing cardiac surgery (n=108). Peritoneal dialysis vs. Hemodialysis was evaluated on 2-year survival (p=0.73). Peritoneal dialysis patients undergoing cardiac surgery had similar 2-year survival (69% vs 66%, p=0.73) and fewer postoperative complications (28% vs 50%, p=0.046) compared to hemodialysis patients.
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