Is Peritonitis Risk Increased in Elderly Patients on Peritoneal Dialysis? Report from the French Language Peritoneal Dialysis Registry (RDPLF)
Open Access
- 1 May 2016
- journal article
- Published by SAGE Publications in Peritoneal Dialysis International
- Vol. 36 (3), 291-296
- https://doi.org/10.3747/pdi.2014.00154
Abstract
Introduction This study was carried out to examine whether or not elderly patients on peritoneal dialysis (PD) had an increased risk of peritonitis. Methods This was a retrospective cohort study based on data from the French Language Peritoneal Dialysis Registry. We analyzed 8,396 incident patients starting PD between January 2003 and December 2010. The end of the observation period was 31 December 2012. Patients were separated into 2 age groups: up to 75 and over of 75 years old. Results Among 8,396 patients starting dialysis there were 3,173 patients older than 75. When using a Cox model, no association was found between age greater than 75 years and increased risk of peritonitis (hazard ratio [HR]: 0.97 [0.88 – 1.07]). Diabetes (HR: 1.14 [1.01 – 1.28] and continuous ambulatory PD (HR: 1.13 [1.04 – 1.23]) were significantly associated with a higher risk of peritoneal infection whereas nurse-assisted PD was associated with a lower risk of peritonitis (HR: 0.85 [0.78 – 0.94]. In the analysis restricted to the 3,840 self-care PD patients, there was no association between age older than 75 years and risk of peritonitis. Conclusion The risk of peritonitis is not increased in elderly patients on PD in a country where assisted PD is available.Keywords
This publication has 18 references indexed in Scilit:
- Asymptomatic diverticulosis identified by computed tomography is not a risk factor for enteric peritonitisNephrology Dialysis Transplantation, 2011
- Microbiology and Outcomes of Peritonitis in Australian Peritoneal Dialysis PatientsPeritoneal Dialysis International, 2011
- Compared with Younger Peritoneal Dialysis Patients, Elderly Patients have Similar Peritonitis-Free Survival and Lower Risk of Technique Failure, but Higher Risk of Peritonitis-Related MortalityPeritoneal Dialysis International, 2011
- Broadening Options for Long-term Dialysis in the Elderly (BOLDE): differences in quality of life on peritoneal dialysis compared to haemodialysis for older patientsNephrology Dialysis Transplantation, 2010
- Peritoneal dialysis in elderly patients: report from the French Peritoneal Dialysis Registry (RDPLF)Nephrology Dialysis Transplantation, 2009
- Factors That Influence Access to the National Renal Transplant Waiting ListTransplantation, 2009
- Impact of Age on Peritonitis Risk in Peritoneal Dialysis PatientsClinical Journal of the American Society of Nephrology, 2009
- Changes in survival among elderly patients initiating dialysis from 1990 to 1999CMAJ : Canadian Medical Association Journal, 2007
- Automated vs continuous ambulatory peritoneal dialysis: a systematic review of randomized controlled trialsNephrology Dialysis Transplantation, 2007
- Associations between comorbidities, treatment choice and outcome in the elderly with end-stage renal diseaseNephrology Dialysis Transplantation, 2007