Publication:
Survival analysis and associated factors in thai patients on peritoneal dialysis under the PD-First policy

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Issued Date

2018

Resource Type

Article

File Type

application/pdf

ISSN

8968608

DOI

10.3747/pdi.2017.00127

Other identifier(s)

2-s2.0-85047853120

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Peritoneal Dialysis International. Vol 38, No.3 (2018), p.172-178

Suggested Citation

Changsirikulchai S., Sriprach S., Thokanit N.S., Janma J., Chuengsaman P., Sirivongs D. Survival analysis and associated factors in thai patients on peritoneal dialysis under the PD-First policy. Peritoneal Dialysis International. Vol 38, No.3 (2018), p.172-178. doi:10.3747/pdi.2017.00127 Retrieved from: https://hdl.handle.net/20.500.14740/5134

Title

Survival analysis and associated factors in thai patients on peritoneal dialysis under the PD-First policy

Author(s)

Changsirikulchai S.
 Sriprach S.
 Thokanit N.S.
 Janma J.
 Chuengsaman P.
 Sirivongs D.

Abstract

♦ Background: The peritoneal dialysis First (PD-First) policy means that PD is the first modality of dialysis chosen for patients with end-stage renal disease (ESRD), as put forth by the Universal Health Coverage (UHC) scheme. It was initiated in Thailand in 2008. Our aim is to analyze patient survival, technique survival, and associated factors. ♦ Methods: Data of PD patients from January 2008 to November 2016 were studied. We calculated patient and technique survival rates (censored for death and kidney transplantation). Factors associated with survival were analyzed by the Cox proportional hazard model. Patient and technique survival rates between 2008 – 2012 and 2013 – 2016 were compared. ♦ Results: Our study included 11,477 patients. The mean (standard deviation [SD]) age at initiation of PD was 54.0 (14.4) years. The level of education in 85.2% of cases was illiterate or primary school. A total of 60.9% of patients developed ESRD secondary to diabetes. The 1-to 5-year patient survival rates were 82.6, 71.8, 64.0, 58.5, and 54.0%, respectively. The first-year technique survival rate was 94.8%. The patient and technique survival rates during 2013 – 2016 were better than those seen during 2008 – 2012. Factors associated with lower patient survival rates were: female gender, increased age at start of PD, coverage with civil servant medical benefit scheme, low educational levels, and a history of diabetes. ♦ Conclusion: Most patients had diabetes and low educational levels as seen in the outcomes in the previous literature. These factors impacted the survival of patients under the PD-First policy. © 2018 International Society for Peritoneal Dialysis.

Subject(s)

Creatinine
 Adult
 Aged
 Article
 Chronic kidney failure
 Controlled study
 Diabetes mellitus
 Education
 End stage renal disease
 Female
 Health care policy
 Health insurance
 Hemodialysis patient
 Human
 Kidney transplantation
 Major clinical study
 Male
 Middle aged
 Outcome assessment
 Overall survival
 Patient survival
 Peritoneal dialysis
 Priority journal
 Survival analysis
 Survival rate
 Technique survival
 Thai (citizen)
 Chronic kidney failure
 Mortality
 Survival analysis
 Thailand
 Treatment outcome
 Adult
 Aged
 Female
 Health Policy
 Humans
 Kidney Failure, Chronic
 Male
 Middle Aged
 Peritoneal Dialysis
 Survival Analysis
 Thailand
 Treatment Outcome

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URI

https://hdl.handle.net/20.500.14740/5134

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Scopus: Year 1983-2021

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