Time-dependent incidence rates and risk factors for transferring to hemodialysis in patients on peritoneal dialysis under the Thai PD-First Policy
Issued Date
2023-01-01
Resource Type
ISSN
08968608
eISSN
17184304
Scopus ID
2-s2.0-85125801462
Pubmed ID
35236182
Journal Title
Peritoneal Dialysis International
Volume
43
Issue
1
Start Page
64
End Page
72
Rights Holder(s)
SCOPUS
Bibliographic Citation
Peritoneal Dialysis International Vol.43 No.1 (2023) , 64-72
Suggested Citation
Sangthawan P., Ingviya T., Thokanit N.S., Janma J., Changsirikulchai S. Time-dependent incidence rates and risk factors for transferring to hemodialysis in patients on peritoneal dialysis under the Thai PD-First Policy. Peritoneal Dialysis International Vol.43 No.1 (2023) , 64-72. 72. doi:10.1177/08968608221081521 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85156
Title
Time-dependent incidence rates and risk factors for transferring to hemodialysis in patients on peritoneal dialysis under the Thai PD-First Policy
Other Contributor(s)
Abstract
Background: Haemodialysis (HD) transfer (HDT) is the major challenge of peritoneal dialysis (PD). This study aimed to analyse the time-dependent incidence rates and risk factors for permanent HDT in patients under Thailand’s PD First policy. Methods: The records of 20,545 patients from January 2008 to June 2018 were studied. The time on therapy (TOT) was divided into 0–3, 3–12, 12–24, 24–36, 36–48 and more than 48 months. The time-dependent incidence rates and causes of PD dropout were investigated. The risk factors for HDT were analysed by multivariable Poisson regression model and presented as incidence rate ratios (IRRs) and 95% confidence intervals (CIs). Results: The main cause of PD dropout was death (45.7%) with 17.4% of the patients transferred to HD. The median (25th to 75th interquartile range) dialysis vintage was 1.4 (0.5–2.7) years. The incidence rates of HDT increased with TOT. Patients with universal coverage were transferred to HD less frequently than those with other health schemes. Patients who were illiterate or only had primary school education had a higher risk of being transferred to HD after 48 months of TOT (IRR 1.41 (95% CI 1.07–1.89)). Peritonitis within the first year of PD was the risk for HDT during 13–48 months of PD. The reasons for HDT changed with TOT. Mechanical complications followed by peritonitis were the main causes of HDT during the first 3 months, and after that peritonitis was the main reason. Conclusions: The incidence of HDT increased with TOT. The risks for HDT changed over time on PD.