Comparison of Acquired Cystic Kidney Disease between Hemodialysis and Continuous AmbulatoryPeritoneal Dialysis

By u n g Ke e Ba n g De p a rt m e nt s o f Int e rna l M e d ic ine , U ro lo g y 1 ) a n d R ad io lo g y 2 ) T he Cat ho lic U n iv e rs ity o f Ko re a , S e o u l, Ko re a O bj e c t iv e s : A CKD has b e e n d e s c rib e d m a in ly in p at ie nt s t re at e d w it h h e m o d ia ly s is ( HD) , a nd t he re a re o n ly a f e w re p o rt s a b o ut t h e p re v a le n ce o f A C KD in c o nt in u o us a m b u lat o ry p e rit o ne a l d ia ly s is ( CA PD) p at ie nt s .T he re f o re , w e c o m p a re d t h e p re v a le n ce o f A C KD in p at ie nt s re ce iv ing HD a nd CA PD, a nd e v a lu at e d t he p o s s ib le f act o rs w h ic h m ay af f e ct t he d e v e lo p m e nt o f A CKD. M e t h o d s : Fo rty n ine HD a nd 4 9 CA PD p at ie nt s w ho ha d re c e iv e d d ia ly s is t he ra py f o r at le a s t 12 m o nt hs w e re e n ro lle d in t h is c ro s s -s e ct io na l s t udy .Pat ie nt s w ho h ad a p a s t h is t o ry o f p o ly cy s t ic k id ney d is e a s e a n d ha d a cq u ire d cy s t ic k id ney d is e a s e o n p re d ia ly s is s o no g rap h ic e x a m w e re e x c lud e d .De t e ct io n o f A C KD w a s m ad e by u lt ra s o n o g ra p hy a nd A C KD w as d e f ine d a s 3 o r m o re cy s t s in e a c h k id ney .Re s u lt s : T he p re v a le nce o f A C KD w a s a b o ut 3 1% (3 0/ 98 ) a nd t he re w a s no s ig n if ic a nt d if f e re nce b e tw e e n HD a nd CA PD p at ie nt s ( 2 7 % v s .34 % , P> 0 .0 5 ) .T he p re v a le nce o f A CKD w as no t as s o c iat e d w it h ag e , s e x , p rim a ry re na l d is e as e , t he le v e ls o f he m o g lo b in , B U N a nd s e ru m c re at in ine .Ho w e v e r, t h e d u rat io n o f d ia ly s is w as s ig n if ica nt ly re lat e d t o t he d e v e lo p m e nt o f A C KD (p re s e nc e o f A CKD, 74 .4 4 2 .4m o nt hs v s .a b s e nc e o f A CKD, 3 7 .824 . 1 m o nt hs , p < 0 .05) .Co nc lu s io n : T h e p re v a le nc e o f A C KD is n o t d if f e re nt a cc o rd ing t o t he m o d e o f d ia ly s is , a nd t h e m aj o r d e t e rm in a nt o f acq u ire d cy s t f o rm at io n is d u rat io n o f d ia ly s is .──────────────────────────────────────────────── Ke y W o rd s : A cq u ire d cy s t ic k id ney d is e as e , Co nt in uo u s a m b u lat o ry p e rit o ne a l d ia ly s is , He m o d ia ly s is