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Remote Indigenous peritoneal dialysis patients have higher risk of peritonitis, technique failure, all-cause and peritonitis-related mortality
Citation
Lim, WH and Boudville, N and McDonald, SP and Gorham, G and Johnson, DW and Jose, M, Remote Indigenous peritoneal dialysis patients have higher risk of peritonitis, technique failure, all-cause and peritonitis-related mortality, Nephrology, Dialysis and Transplantation, 26, (10) pp. 3366-3372. ISSN 0931-0509 (2011) [Refereed Article]
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Copyright Statement
The definitive publisher-authenticated version is available online at: http://www.oxfordjournals.org/ Copyright 2011 The author.
Abstract
Background. The number of indigenous patients with endstage
kidney disease (ESKD) is increasing in Australia, reflecting
a similar trend in other countries. Because many
indigenous patients live in remote areas, peritoneal dialysis
(PD) is often preferred. Compared to non-indigenous PD
patients, indigenous patients have increased complication
rates but the effect of residential locations on outcomes remains
unclear. The aim of this study is to examine the association
between race and PD outcomes stratified by location.
Methods.Using theAustralia and New Zealand Dialysis and
Transplant (ANZDATA) Registry, all adult ESKD patients
commencing PD in Australia between 1995 and 2008 were
included. Patients were stratified as non-indigenous or indigenous
race and were grouped according to their residential
location, the latter stratified into metropolitan, regional and
remote areas. Outcomes evaluated included peritonitis, technique
failure, peritonitis-related and all-cause mortality.
Results. Regional and/or remote PD patients generally
have a greater risk peritonitis-related complications and/
or mortality compared to metropolitan patients. However,
remote indigenous PD patients had the greatest risk of
all PD-related complications, including all-cause and
peritonitis-related mortality.
Conclusions. This registry analysis demonstrates that nonmetropolitan
PD patients, especially remote indigenous
patients, have higher complication rates, suggesting that environmental
factors are important in determining PD outcomes.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | ANZDATA registry; indigenous; peritonitis; peritoneal dialysis; remote |
| Research Division: | Biomedical and Clinical Sciences |
| Research Group: | Clinical sciences |
| Research Field: | Nephrology and urology |
| Objective Division: | Indigenous |
| Objective Group: | Aboriginal and Torres Strait Islander health |
| Objective Field: | Aboriginal and Torres Strait Islander health status and outcomes |
| UTAS Author: | Jose, M (Professor Matthew Jose) |
| ID Code: | 73105 |
| Year Published: | 2011 |
| Web of Science® Times Cited: | 50 |
| Deposited By: | Menzies Institute for Medical Research |
| Deposited On: | 2011-09-14 |
| Last Modified: | 2022-10-12 |
| Downloads: | 0 |
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