Outcomes of peritoneal dialysis in cirrhosis: A systematic review and meta-analysis.
Poemlarp MekraksakitSupawadee SuppadungsukCharat ThongprayoonJing MiaoNatnicha LeelaviwatJerapas ThongpiyaFawad QureshiIasmina M CraiciWisit CheungpasitpornPublished in: Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis (2024)
Our meta-analysis demonstrates that PD provides comparable mortality outcomes to HD in ESKD patients with cirrhosis. In addition, the presence of cirrhosis does not significantly elevate the risk of mortality among patients undergoing PD. While there is a higher incidence of chronic hypotension and a slightly increased risk of peritonitis in cirrhosis patients on PD compared to those without cirrhosis, the risks of hernia and the need to transition from PD to HD are comparable between both groups. These findings suggest PD as a viable and effective treatment option for ESKD patients with cirrhosis.
Keyphrases
- end stage renal disease
- peritoneal dialysis
- chronic kidney disease
- systematic review
- patients undergoing
- risk factors
- ejection fraction
- cardiovascular events
- type diabetes
- cardiovascular disease
- randomized controlled trial
- climate change
- patient reported outcomes
- risk assessment
- replacement therapy
- patient reported
- glycemic control