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APD and CAPD (children)

Study IDHooman 2009Bakkaloglu 2005
Mortality (where reported, also deaths in first 3 months)Mean survival 1.22 years (95% CI 0.91 to 1.53) RR death 3.25 (95% CI 1.82 to 5.79) for children aged under 24 months compared with those aged 24 months or over
No other factors were significantly associated (illiteracy, failure to thrive, peritonitis, home location, sex, year of initiation)

Causes of death were: infection (40%), pulmonary oedema or ineffective dialysis (29.1%), bowel perforation (5.4%) and undetermined (25.5%). Mean survival time in these patients was 2 years (95% CI 1.45 to 2.56)

Mortality rate 55% from 1993 to 1997; 60% 1998 to 2001; 23% 2002 to 2006. Mortality was higher in children treated with CAPD before 2001 compared with current practice (RR 2.78; 95% CI 1.64 to 4.72)
Survival 90% at 1 yr, 80% at 3 yrs, and 70% at 5 yrs
No significant difference by peritoneal dialysis modality (p=0.342)

From: Appendix A, Evidence review

Cover of Peritoneal Dialysis
Peritoneal Dialysis: Peritoneal Dialysis in the Treatment of Stage 5 Chronic Kidney Disease.
NICE Clinical Guidelines, No. 125.
Centre for Clinical Practice at NICE (UK).
Copyright © 2011, National Institute for Health and Clinical Excellence.

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