scholarly journals CDC Group EO-4 and Candida tropicalis Peritonitis in a Patient on Peritoneal Dialysis after Upper Endoscopy, Colonoscopy and Coil Embolization of the Gastroduodenal Artery

2016 ◽  
Vol 10 (3) ◽  
pp. 728-732 ◽  
Author(s):  
Shameek Gayen ◽  
Yonah Ziemba ◽  
Shikha Jaiswal ◽  
Adam Frank ◽  
Yasmin Brahmbhatt
Keyword(s):  
United States ◽  
Peritoneal Dialysis ◽  
Coil Embolization ◽  
The United States ◽  
Annual Data ◽  
Fungal Peritonitis ◽  
First Case ◽  
Ct Angiogram ◽  
Stage Renal Disease ◽  
End Stage

Peritoneal dialysis (PD) is an excellent form of renal replacement therapy for many patients with end-stage renal disease (ESRD). Over 10,000 patients receive PD in the United States [United States Renal Data System: 2015 USRDS Annual Data Report: Epidemiology of Kidney Disease in the United States, 2015]. PD has superior outcomes compared to hemodialysis in the first 2 years of ESRD [Sinnakirouchenan and Holley: Adv Chronic Kidney Dis 2011;18: 428–432]. However, peritonitis is a known complication and may result in significant morbidity and necessitate transition to hemodialysis, which increases medical costs [Holley and Piraino: Semin Dial 1990;3: 245–248]. We report the first case of a PD patient who underwent endoscopy, colonoscopy and CT angiogram with coil embolization for gastrointestinal bleeding without antibiotic prophylaxis and subsequently developed CDC group EO-4 organism and fungal peritonitis.

Acid–Base Disturbances

2014 ◽  
pp. 594-602
Author(s):  
Julian L. Seifter
Keyword(s):  
United States ◽  
Cardiovascular Disease ◽  
Peritoneal Dialysis ◽  
Renal Transplantation ◽  
End Stage Renal Disease ◽  
The United States ◽  
Cardiovascular Complications ◽  
Diabetic Patients ◽  
Stage Renal Disease ◽  
End Stage

According to projections from the United States Renal Data Service (USRDS), 〉600,000 individuals in the United States will have end-stage renal disease (ESRD) by 2010. The leading cause of ESRD in the United State is diabetes, followed by hypertension. As the care of diabetic patients has improved, particularly in the area of cardiovascular disease, they are living through their cardiovascular complications long enough to develop ESRD. As a consequence, since the inception of the Medicare ESRD program. the dialysis population has gradually become older with increasing numbers of comorbid conditions. Renal replacement therapy in the form of hemodialysis or peritoneal dialysis may serve as a bridge to the best form of renal replacement, renal transplantation. The demand for suitable kidneys for transplantation far exceeds the supply, leaving many patients on dialysis for extended periods of time.

Excerpts from the United States Renal Data System 2004 Annual Data Report: Atlas of end-stage renal disease in the United States

2005 ◽  
Vol 45 ◽  
pp. A5-A7 ◽  
Author(s):  
Allan J. Collins ◽  
Bertram Kasiske ◽  
Charles Herzog ◽  
Blanche Chavers ◽  
Robert Foley ◽  
...  
Keyword(s):  
United States ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
The United States ◽  
Data System ◽  
Annual Data ◽  
Stage Renal Disease ◽  
End Stage

Gender differences in peritoneal dialysis initiation in the US end-stage renal disease population

2020 ◽  
Vol 40 (1) ◽  
pp. 57-61
Author(s):  
Savannah L Vogel ◽  
Tripti Singh ◽  
Brad C Astor ◽  
Sana Waheed
Keyword(s):  
United States ◽  
Gender Differences ◽  
Peritoneal Dialysis ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
The United States ◽  
Mean Value ◽  
Dialysis Modality ◽  
Stage Renal Disease ◽  
End Stage

Background: Overall, a disproportionately small number of end-stage renal disease (ESRD) patients start peritoneal dialysis (PD) in the United States compared to hemodialysis. Little is known about whether gender has an effect on the initial modality of renal replacement therapy utilized by patients; however, prior studies have demonstrated gender disparities in the diagnosis and treatment of various other health conditions, including kidney disease. Methods: Using data from the United States Renal Data System (USRDS), we estimated the proportion of patients utilizing PD as their initial dialysis modality between 2000 and 2014, adjusting estimates to the mean value of all covariates and compared these estimates for women and men. Results: We found that 7.9% of women and 7.5% of men used PD as their initial dialysis modality. The unadjusted odds ratio (OR) of women initiating PD as their initial modality compared to men was 1.04 (95% CI 1.02–1.05, p < 0.001). After adjustment for age, race, ethnicity, cause of ESRD, number of comorbidities, income, employment status, and timing of referral to nephrology, the difference was even more significant, with women being 12% (OR 1.12, CI 1.10–1.14, p < 0.001) more likely to initiate PD than men. However, within different subgroups, older women and women with higher number of comorbidities were less likely to be on PD than their male counterparts. Conclusions: Our results indicate that gender plays a role in the initial dialysis modality used by patients and providers should be cognizant of these gender differences. Further studies are needed to ascertain the cause of this observed difference.

Excerpts From the United States Renal Data System 2002 Annual Data Report: Atlas of End-Stage Renal Disease in the United States

2003 ◽  
Vol 41 (4) ◽  
pp. v-ix ◽  
Author(s):  
Allan J. Collins ◽  
Bertram Kasiske ◽  
Charles Herzog ◽  
Shu-Cheng Chen ◽  
Susan Everson ◽  
...  
Keyword(s):  
United States ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
The United States ◽  
Data System ◽  
Annual Data ◽  
Stage Renal Disease ◽  
End Stage

Changing Patterns of Peritoneal Dialysis Utilization in the United States

2007 ◽  
Vol 27 (2_suppl) ◽  
pp. 51-52
Author(s):  
Rajnish Mehrotra
Keyword(s):  
United States ◽  
Peritoneal Dialysis ◽  
The United States ◽  
Progressive Increase ◽  
Physician Training ◽  
Automated Peritoneal Dialysis ◽  
Changing Patterns ◽  
Steep Decline ◽  
Stage Renal Disease ◽  
End Stage

The proportion of incident U.S. patients with end-stage renal disease starting chronic peritoneal dialysis (CPD) has historically been low. The low take-on for CPD in the United States is likely multifactorial, but limited physician training and inadequate pre-dialysis patient education appear to be particularly important. Furthermore, two key changes have occurred in the United States: a steep decline in CPD take-on and a progressive increase in the use of automated peritoneal dialysis (APD). The decline in CPD take-on has affected virtually every subgroup examined and has occurred, paradoxically, when the CPD outcomes in the country have improved. Understanding the reasons for historically low CPD take-on and recent steep declines in utilization may allow for plans to reverse these trends to be developed.

scholarly journals Underutilization of Home Dialysis in the United States: missed opportunities for quality improvement.

2018 ◽  
Vol 1 (2) ◽  
pp. 59-64
Author(s):  
Vo D Nguyen
Keyword(s):  
United States ◽  
Peritoneal Dialysis ◽  
National Policy ◽  
The United States ◽  
Data System ◽  
Missed Opportunities ◽  
Home Dialysis ◽  
The Us ◽  
Stage Renal Disease ◽  
End Stage

Peritoneal dialysis may offer many potential advantages over in-center hemodialysis: lower cost, better quality of care and lower mortality. However, the United States Renal Data System (USRDS) which is a national data system that collects, analyzes, and distributes information about chronic kidney disease (CKD) and end-stage renal disease (ESRD) in the United States, indicates that the incidence and prevalence of home dialysis remains under-utilized compared with in-center hemodialysis. Future changes in national policy on dialysis may bring about an increase in home dialysis and potentially improve the care and cost in dialysis. This paper is mostly based on the 2017 USRDS Annual Report and centered on the potential missed opportunity caused by the underuse of peritoneal dialysis in the US.

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