Key result
Peritoneal dialysis shows no significant difference vs hemodialysis for major post-cardiac surgery complications.
Why the study?
Comparative postoperative outcomes after cardiac surgery in Japanese patients receiving peritoneal dialysis versus hemodialysis remained unclear.
Does peritoneal dialysis compared to hemodialysis reduce the composite of in-hospital death, ischemic stroke, bleeding, and infections in Japanese patients undergoing cardiac surgery?
Cohort (n=26)
Does peritoneal dialysis compared to hemodialysis reduce the composite of in-hospital death, ischemic stroke, bleeding, and infections in Japanese patients undergoing cardiac surgery?
In a small Japanese cohort undergoing cardiac surgery, peritoneal dialysis was associated with a shorter postoperative stay and a numerically lower but statistically non-significant rate of in-hospital composite complications compared to hemodialysis.
Answers are grounded in this paper and cite their sources.
No difference in composite complications; leaves open optimal dialysis modality after cardiac surgery in observational data.
Introduction Comparative postoperative outcomes after cardiac surgery in Japanese patients receiving peritoneal dialysis (PD) and hemodialysis (HD) remain unclear. Methods We retrospectively evaluated 26 dialysis patients who underwent cardiac surgery from 2016 to 2022. The primary endpoint was a composite of all‐cause death, ischemic stroke, bleeding complications, and infections during hospitalization. The secondary endpoints included intubation duration, intensive care unit (ICU) stay, and postoperative stay in the cardiovascular surgery department. Results Seven patients received PD and nineteen received HD. The composite outcome occurred in 14% in PD and 42% in HD patients ( p = 0.36). Median intubation duration and ICU stay were 1 vs. 2 days ( p = 0.18) and 4 vs. 4 days ( p = 0.91), respectively. Median postoperative stay was shorter in PD than HD patients (14 vs. 17 days, p = 0.03). Conclusion No statistically significant difference in the composite in‐hospital outcome was observed between groups, although estimates were imprecise because of the small sample size.
No takes yet. Share an insight, caveat, or question.
Kimura et al. (2026) conducted a cohort in Dialysis-dependent patients undergoing cardiac surgery (n=26). Peritoneal dialysis vs. Hemodialysis was evaluated on Composite of all-cause death, ischemic stroke, bleeding complications, and infections during hospitalization (p=0.36). Peritoneal dialysis vs hemodialysis showed no significant difference in the composite of in-hospital death, stroke, bleeding, or infection after cardiac surgery (14% vs 42%, p=0.36).
Synapse has enriched 10 related papers. Consider them for comparative context: