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July 1, 2017Peritoneal Dialysis International

Rapid decline in residual renal function (≥ 0.09 decline) over 12 months was associated with an increased risk of death (HR 2.60; 95% CI 1.66-4.07) and anuria.

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Why the study?

Does rapid decline in residual renal function increase the risk of mortality and anuria in peritoneal dialysis patients?

Population

581 subjects on peritoneal dialysis with longitudinal prevalent data

Comparison

Rapid residual renal function decline vs Slower RRF decline

Design

Cohort

Key result

Rapid decline in residual renal function (≥ 0.09 decline) over 12 months was associated with an increased risk of death (HR 2.60; 95% CI 1.66-4.07) and anuria.

Authors

SHSusie L. HuPJPriyanka JoshiMKMark Kaplan

Discussion

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Member takes

Overview

Identifies rapid residual renal function loss as a high-risk marker in peritoneal dialysis;.

Study Design

Type

Cohort (n=581)

Structured PICO

Does rapid decline in residual renal function increase the risk of mortality and anuria in peritoneal dialysis patients?

P
Population
581 subjects on peritoneal dialysis with longitudinal prevalent data.
E
Exposure
Rapid residual renal function (RRF) decline (≥ 0.09 decline over a 12-month period)
C
Comparator
Slower RRF decline (< 0.09 decline over a 12-month period)
O
Outcome
Mortality and anuriahard clinical

Main Result

Hazard Ratio: 2.6 (95% CI 1.66–4.07)

Rapid decline in residual renal function over 12 months in peritoneal dialysis patients is strongly associated with increased risks of mortality and anuria, particularly in those with diabetes.

Cite This Study

Hu et al. (2017) conducted a cohort in peritoneal dialysis (n=581). Rapid decline in residual renal function (≥ 0.09 decline) vs. < 0.09 decline in residual renal function was evaluated on death (HR 2.60, 95% CI 1.66 - 4.07). Rapid decline in residual renal function (≥ 0.09 decline) over 12 months was associated with an increased risk of death (HR 2.60; 95% CI 1.66-4.07) and anuria.

synapsesocial.com/papers/6a8b16539ac394ad33caa49fhttps://doi.org/10.3747/pdi.2016.00211
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Fast Decline of Residual Renal Function in the First Year is a Predictor for Early Withdrawal from Peritoneal Dialysis in Non-Diabetic Patients2019 · 10 citations
  2. 2#2752 Decline of residual renal function in peritoneal patients: in search of the lost kidney?2024
  3. 3Changes in Echocardiographic Parameters According to the Rate of Residual Renal Function Decline in Incident Peritoneal Dialysis Patients2015 · 8 citations
  4. 4Baseline and Time‐Averaged Values Predicting Residual Renal Function Decline Rate in Japanese Peritoneal Dialysis Patients2017 · 11 citations
  5. 5The relationship between the rate of decline in residual kidney function and technique failure in patients undergoing peritoneal dialysis: a retrospective cohort study2026