Clinical Investigation

Kidney International (1985) 28, 198–205; doi:10.1038/ki.1985.141

Continuous ambulatory peritoneal dialysis in the United States: A three-year study

Karl D Nolph, Sidney J Cutler, Seth M Steinberg and Joel W Novak

NIH-CAPD Registry, Clinical Coordinating Center, Division of Nephrology, University of Missouri Health Sciences Center, Columbia, Missouri and NIH-CAPD Registry, Data Coordinating Center, The EMMES Corporation, Potomac, Maryland, USA

Correspondence: Dr K D Nolph, Director, Division of Nephrology, Department of Medicine, M472 Health Sciences Center, University of Missouri, Columbia, Missouri 65212 USA

Received 21 August 1984; Revised 22 January 1985.

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Abstract

Continuous ambulatory peritoneal dialysis in the United States: A three-year study. This report of the NIH-supported National Continuous Ambulatory Peritoneal Dialysis (CAPD) Registry summarizes data on 7,404 patients treated with CAPD during the three-year period 1981 through 1983, or nearly one-half of patients treated in the USA who were treated with CAPD during this time. While age and diabetes mellitus impact on mortality, they appear to have a limited influence on transfer or infection rate. There were 1.7 episodes of peritonitis, 0.7 exit site/tunnel infections, and 0.3 catheter replacements reported per patient year of observation. Patients averaged 10.2 hospital days per year for CAPD complications and 22.3 hospital days per year for all causes. Comparisons of these data with similar data reported for other therapies are subject to variations in the distribution of population and disease characteristics, as well as the length of the observation period.

Dialyse péritonéale continue ambulatoire aux Etats-Unis: Une étude de trois ans. Ce rapport du National Continuous Ambulatory Peritoneal Dialysis (CAPD) Registry sous l'égide du NIH résume les données obtenues chez 7404 malades en CAPD pendant la période de trois ans, 1981 à 1983, soit presque la moitié des malades traités aux Etats-Unis par CAPD pendant ce temps. Bien que l'âge et le diabète sucré influencent la mortalité, ils semblent avoir une influence limitée sur les taux de transfert ou d'infection. Il y a eu 1,7 épisodes de péritonite, 0,7 infections du point de sortie/du tunnel, et 0,3 changements de cathéter rapportés année d'observation-malade. Les malades comptaient en moyenne 10,2 jours d'hôpital par an pour les complications de la CAPD et 22,3 jours d'hospitalisation par an de toute autre cause. La comparaison de ces données avec les données identiques rapportées pour d'autres traitements est dépendante des variations de la distribution de la population et des caractéristiques de la maladie, ainsi que de la durée de la période d'observation.

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