Key result
Automated peritoneal dialysis was associated with similar 5-year survival compared to home haemodialysis (88% vs 90%; HR 1.1, 95% CI 0.52-2.4) in adult patients on kidney replacement therapy.
Why the study?
Prior studies showed superior survival on home HD compared to PD without evaluating APD and CAPD separately, prompting a survival comparison between APD and home HD.
Does automated peritoneal dialysis result in similar survival compared to home haemodialysis in adult patients starting kidney replacement therapy?
Population
Adult KRT patients on home dialysis modalities at 90 days in Helsinki-Uusimaa, Finland (2004-2017)
Comparison
Home HD vs APD vs CAPD
Design
Inception cohort study with propensity score-adjusted analysis
Authors
Loading...
APD survival appears similar to home HD; leaves open need for randomized confirmation before practice change.
Cohort
No
Does automated peritoneal dialysis result in similar survival compared to home haemodialysis in adult patients starting kidney replacement therapy?
Effect estimate: HR 1.1 (95% CI 0.52-2.4)
Absolute Event Rate: 88% vs 90%
Survival of patients on automated peritoneal dialysis appears similar to those on home haemodialysis after adjusting for confounding factors.
Bitar et al. (2021) conducted a cohort in Kidney replacement therapy. Automated peritoneal dialysis (APD) vs. Home haemodialysis (HD) was evaluated on Patient survival (HR 1.1, 95% CI 0.52-2.4). Automated peritoneal dialysis was associated with similar 5-year survival compared to home haemodialysis (88% vs 90%; HR 1.1, 95% CI 0.52-2.4) in adult patients on kidney replacement therapy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: