We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Controlled comparison of hemodialysis and peritoneal dialysis: Veterans Administration multicenter study.
- Authors
Gutman, Robert A.; Blumenkrantz, Michael J.; Yick-Kwong Chan; Barbour, Galen L.; Gandhi, Vasant C.; Shen, Fu H.; Tucker, Thomas; Murawski, Benjamin J.; Coburn, Jack W.; Curtis, Frederick K.
- Abstract
Controlled comparison of hemodialysis and peritoneal dialysis: Veterans Administration multicenter study. We measured mortality and morbidity among 114 patients assigned randomly to home hemodialysis (HD) and home intermittent peritoneal dialysis (IPD). Data were collected during the time of home training and for 12 months after initiation of home dialysis. Training time was shorter for the IPD than for the HD patients (P < 0.001) with median time 1.8 months for IPD and 3.9 months for HD. Switching to the alternative mode of treatment was more frequent for the IPD group (29/59 vs. 5/55. P < 0,001). Survival time was not different, perhaps because of the modality change. More IPD patients were hospitalized in the first 6 months (20 for IPD vs. 9 for HD, P = 0.02), but they had fewer troublesome cardiovascular events in the first year (0 vs. 12. P < 0.001). The HD patients maintained better nutritional status as reflected in body weight and arm muscle circumference and possibly in urea appearance rate. Thus, these data suggest that for most patients. IPD is a less satisfactory form of therapy than HD, but certain advantages of IPD did emerge. Applications of this information to the currently more popular mode of CAPD await further study.
- Subjects
HEMODIALYSIS; PERITONEAL dialysis; BODY weight; UREA; CARDIOVASCULAR system
- Publication
Kidney International, 1984, Vol 26, Issue 4, p459
- ISSN
0085-2538
- Publication type
Article
- DOI
10.1038/ki.1984.196