COMPARISON OF PATIENT SURVIVAL BETWEEN HEMODIALYSIS AND PERITONEAL DIALYSIS AMONG PATIENTS ELIGIBLE FOR BOTH MODALITIES

Main Article Content

Khalid
Arooba Naeem
Annum Riaz Ahmed
Khushal Khan
Mohammad Eyan Khan
Basit Ali
Faizan Banaras

Keywords

Hemodialysis, peritoneal hemodialysis, survival rate, Mortality

Abstract

Background and Aim: In recent years, as the world faces a rising prevalence of chronic diseases, such as chronic kidney disease (CKD), there has been a growing focus on evaluating health outcomes related to different dialysis methods. This study includes examining the comparative survival outcomes between peritoneal dialysis (PD) and hemodialysis (HD).


Patients and Methods: A total of 856 hemodialysis and 286 peritoneal hemodialysis adult patients were investigated in the Department of Nephrology, Khyber Teaching Hospital, Peshawar from March 2022 to April 2023. All the patients diagnosed of end-stage renal disease successfully undergone a comprehensive modality assessment were included. Hemodialysis and peritoneal dialysis were the predictors for mortality from any causes as an outcome.


Results: A total of 1142 end-stage renal disease patients including 856 hemodialysis and 286 peritoneal hemodialysis were investigated. The overall mean age of HD and PD patients was 62.5±6.8 years and 60.4±8.56 years respectively. In general, individuals with HD (hemodialysis) exhibited advanced age and a greater prevalence of causes such as hypertension, diabetes, cerebrovascular disease, coronary artery disease, malignancy, congestive heart failure, and peripheral vascular disease. We observed a significant interaction between age and dialysis approach (P = 0.01), along with a time-dependent connection between dialysis method and survival. For the elderly population (aged <65and ≥65 years), there was no statistically notable contrast in overall mortality rates between HD and PD.


Conclusion: Hemodialysis (HD) and peritoneal dialysis (PD) show comparable mortality rates in newly initiated dialysis patients fulfilling both the treatment options. The later preferred by patients having satisfactory financial status.  

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