Department of Nephrology, Tianjin First Center Hospital, Tianjin, China.
Division of Nephrology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and School of Medicine, College of Medicine, Chang Gung University, Taiwan, Republic of China.
Ren Fail. 2022 Dec;44(1):2010-2018. doi: 10.1080/0886022X.2022.2145972.
To investigate the different impacts on clinical outcomes between regular recall and non-regular recall among incident peritoneal dialysis (PD) patients.
A two-center cohort of 216 new PD patients from 1January 2013, to 31 December 2014, was studied. Informative clinical data were collected from baseline until two years after PD initiation, including demographics, laboratory and PD-related parameters, PD-related peritonitis rates, and frequency of hospitalization. Regular in-person recall (RPR) was defined as having a one-month interval and non-regular in-person recall (NRPR) as an interval ranging from more than one month to less than three months.
Percentage of patients with peritonitis was significantly higher among patients in the NRPR group than among those in the RPR group (27.7% vs. 16.5%, = .049). PD-related peritonitis rate was higher in the NRPR vs. RPR cohorts (0.16 vs. 0.09 person/year, = .019). PD-related hospitalization frequency was also higher in the NRPR cohort (0.8 ± 1.0 vs. 0.5 ± 0.9, = .039) over two years. Kt/ values in the NRPR cohort gradually decreased over two years and were at lower levels than in the RPR cohort.
New PD patients with NRPR showed higher rates of PD-related peritonitis and hospitalization frequency than patients with RPR.
探讨定期随访与不定期随访对新置腹膜透析（PD）患者临床结局的不同影响。
本研究纳入了 2013 年 1 月 1 日至 2014 年 12 月 31 日期间在两家中心就诊的 216 例新置 PD 患者。收集了基线至 PD 开始后两年的信息性临床数据，包括人口统计学、实验室和 PD 相关参数、PD 相关腹膜炎发生率以及住院频率。定期面对面随访（RPR）定义为 1 个月间隔，不定期面对面随访（NRPR）定义为间隔时间超过 1 个月但少于 3 个月。
NRPR 组患者腹膜炎发生率显著高于 RPR 组（27.7% vs. 16.5%， = .049）。NRPR 组 PD 相关腹膜炎发生率高于 RPR 组（0.16 vs. 0.09 人/年， = .019）。NRPR 组 PD 相关住院频率在两年内也较高（0.8 ± 1.0 vs. 0.5 ± 0.9， = .039）。NRPR 组在两年内的 Kt/V 值逐渐下降，且水平低于 RPR 组。
NRPR 的新置 PD 患者腹膜炎和住院频率发生率高于 RPR 的患者。
