Impact of compliance with salt management guidelines before dialysis introduction on peritoneal dialysis technique survival: The importance of pre-dialysis care and education
Corresponding Author
Ryu Kobayashi
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan
Correspondence
Ryu Kobayashi, Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan.
Email: [email protected]
Search for more papers by this authorSatoshi Kinugasa
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorDaisuke Kamano
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorRena Sumura
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorHirotoshi Kakiwaki
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorTatsuya Haze
Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan
Search for more papers by this authorKeisuke Ono
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorMai Yanagi
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorKouichi Tamura
Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan
Search for more papers by this authorYoshitaka Ishibashi
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorCorresponding Author
Ryu Kobayashi
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan
Correspondence
Ryu Kobayashi, Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan.
Email: [email protected]
Search for more papers by this authorSatoshi Kinugasa
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorDaisuke Kamano
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorRena Sumura
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorHirotoshi Kakiwaki
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorTatsuya Haze
Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan
Search for more papers by this authorKeisuke Ono
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorMai Yanagi
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorKouichi Tamura
Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan
Search for more papers by this authorYoshitaka Ishibashi
Division of Nephrology, Department of Medicine, Japanese Red Cross Medical Center, Tokyo, Japan
Search for more papers by this authorAbstract
Introduction
Peritoneal dialysis (PD) is a mode of therapy in which the patients themselves actively participate in the care of their own disease. We examined a possible association of salt reduction before starting dialysis with PD technique survival.
Methods
This retrospective cohort study included 42 patients who started PD between April 2014 and March 2018. Participants were allocated to two groups based on their estimated daily salt intake before the initiation of dialysis: patients with an estimated daily salt intake <6 g/day were allocated to the appropriate salt intake group (AS group), while the rest were assigned to the high salt intake group (HS group).
Results
During a median follow-up of 47 months, PD technique survival, defined by death or transition to hemodialysis, was significantly lower in the HS group compared to the AS group.
Conclusion
Successful salt reduction before dialysis introduction is associated with better PD technique survival.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflict of interest.
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