Risk factors for encapsulating peritoneal sclerosis in patients who have experienced peritoneal dialysis treatment

Ryo Yamamoto, Yasushi Otsuka, Masaaki Nakayama, Yukio Maruyama, Naohiko Katoh, Masato Ikeda, Hiroyasu Yamamoto, Keitaro Yokoyama, Yoshindo Kawaguchi, Masato Matsushima

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47 Citations (Scopus)

Abstract

Background. The present study was conducted to clarify the clinical risk factors related to the development of encapsulating peritoneal sclerosis (EPS), which is one of the most serious complications in patients undergoing peritoneal dialysis (PD). Methods. The records of 78 patients with a history of PD treatment, including 18 with EPS, were retrospectively analyzed (male/female, 51:27; age, 51.8 ± 11.0 years; PD treatment, 94.1 ± 42.7 months). The inclusion criteria were: duration of PD more than 24 months; 36-month follow up after discontinuation of PD; available data for dialysate-to-plasma creatinine ratio (D/P Cr), by fast peritoneal equilibration test within 3 months before PD discontinuation; and absence of EPS at PD discontinuation. Analytical parameters included age, sex, underlying renal disease, duration of PD, membrane transport state (higher transporter or lower transporter: D/P cr ratio more than or less than 0.75), number of episodes of peritonitis during PD treatment, performance of peritoneal lavage after PD discontinuation, and reasons for PD withdrawal (ultrafiltration failure, acute peritonitis, social matters). Results. Significant differences were noted regarding the PD duration, D/P cr, higher membrane transport state, and number of peritonitis episodes during PD. On receiver operating characteristic curves, the cutoff points for EPS were: D/P cr ratio, 0.74; number of peritonitis episodes, 2; and PD duration (months), 115.2. Multivariate analysis, employing the factors age, PD duration, higher membrane transport state, and number of peritonitis episodes, which were selected by stepwise analysis, identified the latter two factors as significant for the development of EPS (odds ratio [OR], 4.0; P = 0.046 and OR, 12.0; P = 0.049, respectively). Conclusions. A higher transporter membrane state and the number of peritonitis episodes are factors contributing to the occurrence of EPS in patients who have experienced PD treatment.

Original languageEnglish
Pages (from-to)148-152
Number of pages5
JournalClinical and experimental nephrology
Volume9
Issue number2
DOIs
Publication statusPublished - 2005 Jun 1

Keywords

  • Encapsulating peritoneal sclerosis (EPS)
  • Peritoneal dialysis (PD)
  • Risk factor

ASJC Scopus subject areas

  • Physiology
  • Nephrology
  • Physiology (medical)

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    Yamamoto, R., Otsuka, Y., Nakayama, M., Maruyama, Y., Katoh, N., Ikeda, M., Yamamoto, H., Yokoyama, K., Kawaguchi, Y., & Matsushima, M. (2005). Risk factors for encapsulating peritoneal sclerosis in patients who have experienced peritoneal dialysis treatment. Clinical and experimental nephrology, 9(2), 148-152. https://doi.org/10.1007/s10157-005-0349-8