Successes and pitfalls of chronic peritoneal dialysis in infants : a Polish nationwide outcome study

2010
journal article
article
dc.abstract.enIntroduction: Peritoneal dialysis (PD) is a preferred method of renal replacement therapy for end-stage renal disease in children. Recent advances have allowed chronic PD to be provided to children of all ages and sizes. Material and methods: The study was designed as a national (10 dialysis centres), multicentre retrospective analysis of the medical history of 33 children who started chronic peritoneal dialysis in their infancy between 1993 and 2005, with a follow-up period of at least 24 months. Results: The nutritional status of the infants was unsatisfactory. The mean SDS of body weight at the start was -2.0, at 1 year of age -1.7. Only 40% of infants were adequately nourished at 1 year of age. Long-term follow-up analysis showed that 12 children received a kidney transplant, 13 were still on dialysis (4 changed method) and 6 died (mortality rate in the first year of life of 9%). In 2 children we observed an improvement of renal function. We observed a relatively high (1/8.8 patient-months) peritonitis rate in the analysed children when compared to 1 : 22 patient-months in all children undergoing PD in Poland. Conclusions: The results of our survey have shown that the management of dialysed infants is still a challenge for the medical team and families, but longterm results of the therapy are encouragingpl
dc.affiliationWydział Lekarski : Instytut Pediatriipl
dc.contributor.authorJander, Annapl
dc.contributor.authorMakulska, Irenapl
dc.contributor.authorLatoszyńska, Joannapl
dc.contributor.authorBoguszewska-Bączkowska, Hannapl
dc.contributor.authorBałasz-Chmielewska, Irenapl
dc.contributor.authorZagożdżon, Ilonapl
dc.contributor.authorZałuska-Leśniewska, Igapl
dc.contributor.authorStefaniak, Ewapl
dc.contributor.authorLeszczyńska, Beatapl
dc.contributor.authorZachwieja, Katarzyna - 133866 pl
dc.contributor.authorWierciński, Ryszardpl
dc.contributor.authorKipigroch, Hannapl
dc.contributor.authorKołłątaj, Barbarapl
dc.contributor.authorTkaczyk, Marcinpl
dc.date.accessioned2020-04-10T08:29:20Z
dc.date.available2020-04-10T08:29:20Z
dc.date.issued2010pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number3pl
dc.description.physical414-419pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume6pl
dc.identifier.doi10.5114/aoms.2010.14265pl
dc.identifier.eissn1896-9151pl
dc.identifier.issn1734-1922pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/153702
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-SA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.eninfantpl
dc.subject.enchronic dialysispl
dc.subject.enperitoneal dialysispl
dc.subject.enoutcomepl
dc.subject.enchildrenpl
dc.subtypeArticlepl
dc.titleSuccesses and pitfalls of chronic peritoneal dialysis in infants : a Polish nationwide outcome studypl
dc.title.journalArchives of Medical Sciencepl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Introduction: Peritoneal dialysis (PD) is a preferred method of renal replacement therapy for end-stage renal disease in children. Recent advances have allowed chronic PD to be provided to children of all ages and sizes. Material and methods: The study was designed as a national (10 dialysis centres), multicentre retrospective analysis of the medical history of 33 children who started chronic peritoneal dialysis in their infancy between 1993 and 2005, with a follow-up period of at least 24 months. Results: The nutritional status of the infants was unsatisfactory. The mean SDS of body weight at the start was -2.0, at 1 year of age -1.7. Only 40% of infants were adequately nourished at 1 year of age. Long-term follow-up analysis showed that 12 children received a kidney transplant, 13 were still on dialysis (4 changed method) and 6 died (mortality rate in the first year of life of 9%). In 2 children we observed an improvement of renal function. We observed a relatively high (1/8.8 patient-months) peritonitis rate in the analysed children when compared to 1 : 22 patient-months in all children undergoing PD in Poland. Conclusions: The results of our survey have shown that the management of dialysed infants is still a challenge for the medical team and families, but longterm results of the therapy are encouraging
dc.affiliationpl
Wydział Lekarski : Instytut Pediatrii
dc.contributor.authorpl
Jander, Anna
dc.contributor.authorpl
Makulska, Irena
dc.contributor.authorpl
Latoszyńska, Joanna
dc.contributor.authorpl
Boguszewska-Bączkowska, Hanna
dc.contributor.authorpl
Bałasz-Chmielewska, Irena
dc.contributor.authorpl
Zagożdżon, Ilona
dc.contributor.authorpl
Załuska-Leśniewska, Iga
dc.contributor.authorpl
Stefaniak, Ewa
dc.contributor.authorpl
Leszczyńska, Beata
dc.contributor.authorpl
Zachwieja, Katarzyna - 133866
dc.contributor.authorpl
Wierciński, Ryszard
dc.contributor.authorpl
Kipigroch, Hanna
dc.contributor.authorpl
Kołłątaj, Barbara
dc.contributor.authorpl
Tkaczyk, Marcin
dc.date.accessioned
2020-04-10T08:29:20Z
dc.date.available
2020-04-10T08:29:20Z
dc.date.issuedpl
2010
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
3
dc.description.physicalpl
414-419
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
6
dc.identifier.doipl
10.5114/aoms.2010.14265
dc.identifier.eissnpl
1896-9151
dc.identifier.issnpl
1734-1922
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/153702
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-SA
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
infant
dc.subject.enpl
chronic dialysis
dc.subject.enpl
peritoneal dialysis
dc.subject.enpl
outcome
dc.subject.enpl
children
dc.subtypepl
Article
dc.titlepl
Successes and pitfalls of chronic peritoneal dialysis in infants : a Polish nationwide outcome study
dc.title.journalpl
Archives of Medical Science
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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