Prognosis of Peritoneal Dialysis Compared to Hemodialysis in Patient with End-Stage Renal Disease

Meutia Ayuputeri Kumaheri
Journal article eJournal Kedokteran Indonesia • April 2018

Abstract

End-stage Renal Disease (ESRD) is the terminal stage of Chronic Kidney Disease, where the function of the failing kidney must be substituted with Renal Replacement Therapy (RRT). There are two forms of RRT; Peritoneal Dialysis (PD) and Hemodialysis (HD. However, the issue of which method provide a better survival for patient remains an interesting topic to date. This paper aims to provide evidence on whether PD provides better survival compared to HD in a patient with ESRD. Systematic search was done using two databases; Pubmed® and Scopus®. Cohort studies were selected as appropriate study design to answer a prognosis question. Two restrospective cohorts and one prospective cohort study are relevant for this report. Two studies demonstrated survival advantage of PD over HD described by Relative Risk of Mortality of 0.398 and 0.49. The last study showed worse survival of PD patients compared to HD (RR=1.82). The difference in survival in the last study may be attributed to the fact that patients undergoing PD has worse baselinecharacteristics. PDand HD bring about comparable survival in ESRD patients.

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eJournal Kedokteran Indonesia

eJournal Kedokteran Indonesia (eJKI) adalah jurnal resmi Fakultas Kedokteran Universitas Indonesi... see more