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January 6, 2023Frontiers in SurgeryOpen Access

Does temporary transfer to preoperative hemodialysis influence postoperative outcomes in patients on peritoneal dialysis? A retrospective cohort study

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Why the study?

Associations between preoperative transfer to hemodialysis and postoperative outcomes in patients on chronic peritoneal dialysis undergoing major surgeries remain unknown.

Does temporary transfer to preoperative hemodialysis improve postoperative outcomes in patients on chronic peritoneal dialysis undergoing major surgeries?

Population

105 chronic PD patients undergoing major surgeries at Peking University First Hospital

Comparison

Preoperative transfer to HD vs continued PD

Design

Retrospective cohort study

Authors

YZYuyang ZhangSichuan UniversityQZQingqing ZhouMinistry of Education of the People's Republic of ChinaZCZeyang ChenXinHua Hospital

Discussion

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Implication

Switching PD patients to preoperative HD does not appear to improve surgical outcomes; leaves open whether routine transfer is warranted pending prospective trials.

Structured PICO

Does temporary transfer to preoperative hemodialysis improve postoperative outcomes in patients on chronic peritoneal dialysis undergoing major surgeries?

P
Population
105 chronic peritoneal dialysis (PD) patients (≥18 years old, dialysis duration ≥3 months) undergoing major surgeries (excluding renal implantation and PD catheter procedures) at Peking University First Hospital.
I
Intervention
Temporary transfer to preoperative hemodialysis (HD) (n=40)
C
Comparator
Continuation of preoperative peritoneal dialysis (PD) (n=65)
O
Outcome
Postoperative outcomes including postoperative hyperkalemia, total complication rates, and long-term survival

Temporary transfer to hemodialysis before major surgery in peritoneal dialysis patients does not significantly improve postoperative complications or long-term survival, suggesting it is not indispensable.

Cite This Study

Zhang et al. (2023) studied this question.

synapsesocial.com/papers/6a8928843aa2d8278f76114fhttps://doi.org/10.3389/fsurg.2022.1056908
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Broadening Options for Long-term Dialysis in the Elderly (BOLDE): differences in quality of life on peritoneal dialysis compared to haemodialysis for older patients2010 · 239 citations
  2. 2The risk factors for delayed recovery in patients with cardiopulmonary bypass2021 · 10 citations
  3. 3Laparoscopic Left Hemicolectomy for Colon Cancer in Peritoneal Dialysis Patients: A Valid and Safe Surgical Technique to Ensure Peritoneal Dialysis Survival2016 · 9 citations
  4. 4Cardiopulmoitary bypass procedures in dialysis patients1993 · 104 citations