Clinical research<br>  Successes and pitfalls of chronic peritoneal dialysis in infants – a Polish nationwide outcome study

Anna Jander; Irena Makulska; Joanna Latoszyńska; Hanna Boguszewska-Bączkowska; Irena Bałasz-Chmielewska; Ilona Zagożdżon; Iga Załuska-Leśniewska; Ewa Stefaniak; Beata Leszczyńska; Katarzyna Zachwieja; Ryszard Wierciński; Hanna Kipigroch; Barbara Kołłątaj; Marcin Tkaczyk

doi:10.5114/aoms.2010.14265

eISSN: 1896-9151
ISSN: 1734-1922

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abstract:

Clinical research
Successes and pitfalls of chronic peritoneal dialysis in infants – a Polish nationwide outcome study

Anna Jander

,

Irena Makulska

,

Joanna Latoszyńska

,

Hanna Boguszewska-Bączkowska

,

Irena Bałasz-Chmielewska

,

Ilona Zagożdżon

,

Iga Załuska-Leśniewska

,

Ewa Stefaniak

,

Beata Leszczyńska

,

Katarzyna Zachwieja

,

Ryszard Wierciński

,

Hanna Kipigroch

,

Barbara Kołłątaj

,

Marcin Tkaczyk

Arch Med Sci 2010; 6, 3: 414-419

DOI: https://doi.org/10.5114/aoms.2010.14265

Online publish date: 2010/06/30

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AMA

Jander A, Makulska I, Latoszyńska J, et al. Clinical research  Successes and pitfalls of chronic peritoneal dialysis in infants – a Polish nationwide outcome study. Archives of Medical Science. 2010;6(3):414-419. doi:10.5114/aoms.2010.14265.

APA

Jander, A., Makulska, I., Latoszyńska, J., Boguszewska-Bączkowska, H., Bałasz-Chmielewska, I.,  & Zagożdżon, I. et al. (2010). Clinical research  Successes and pitfalls of chronic peritoneal dialysis in infants – a Polish nationwide outcome study. Archives of Medical Science, 6(3), 414-419. https://doi.org/10.5114/aoms.2010.14265

Chicago

Jander, Anna, Irena Makulska, Joanna Latoszyńska, Hanna Boguszewska-Bączkowska, Irena Bałasz-Chmielewska, Ilona Zagożdżon,  and Iga Załuska-Leśniewska et al. 2010. "Clinical research  Successes and pitfalls of chronic peritoneal dialysis in infants – a Polish nationwide outcome study". Archives of Medical Science 6 (3): 414-419. doi:10.5114/aoms.2010.14265.

Harvard

Jander, A., Makulska, I., Latoszyńska, J., Boguszewska-Bączkowska, H., Bałasz-Chmielewska, I., Zagożdżon, I., Załuska-Leśniewska, I., Stefaniak, E., Leszczyńska, B., Zachwieja, K., Wierciński, R., Kipigroch, H., Kołłątaj, B.,  and Tkaczyk, M. (2010). Clinical research  Successes and pitfalls of chronic peritoneal dialysis in infants – a Polish nationwide outcome study. Archives of Medical Science, 6(3), pp.414-419. https://doi.org/10.5114/aoms.2010.14265

MLA

Jander, Anna et al. "Clinical research  Successes and pitfalls of chronic peritoneal dialysis in infants – a Polish nationwide outcome study." Archives of Medical Science, vol. 6, no. 3, 2010, pp. 414-419. doi:10.5114/aoms.2010.14265.

Vancouver

Jander A, Makulska I, Latoszyńska J, Boguszewska-Bączkowska H, Bałasz-Chmielewska I, Zagożdżon I et al. Clinical research  Successes and pitfalls of chronic peritoneal dialysis in infants – a Polish nationwide outcome study. Archives of Medical Science. 2010;6(3):414-419. doi:10.5114/aoms.2010.14265.

Introduction: Peritoneal dialysis (PD) is a preferred method of renal replacement therapy for end-stage renal disease in children. Recent advances have allowed chronic PD to be provided to children of all ages and sizes.
Material and methods: The study was designed as a national (10 dialysis centres), multicentre retrospective analysis of the medical history of 33 children who started chronic peritoneal dialysis in their infancy between 1993 and 2005, with a follow-up period of at least 24 months.
Results: The nutritional status of the infants was unsatisfactory. The mean SDS of body weight at the start was –2.0, at 1 year of age –1.7. Only 40% of infants were adequately nourished at 1 year of age. Long-term follow-up analysis showed that 12 children received a kidney transplant, 13 were still on dialysis (4 changed method) and 6 died (mortality rate in the first year of life of 9%). In 2 children we observed an improvement of renal function. We observed a relatively high (1/8.8 patient-months) peritonitis rate in the analysed children when compared to 1 : 22 patient-months in all children undergoing PD in Poland.
Conclusions: The results of our survey have shown that the management of dialysed infants is still a challenge for the medical team and families, but long-term results of the therapy are encouraging.

keywords:

Clinical research Successes and pitfalls of chronic peritoneal dialysis in infants – a Polish nationwide outcome study

Anna Jander , Irena Makulska , Joanna Latoszyńska , Hanna Boguszewska-Bączkowska , Irena Bałasz-Chmielewska , Ilona Zagożdżon , Iga Załuska-Leśniewska , Ewa Stefaniak , Beata Leszczyńska , Katarzyna Zachwieja , Ryszard Wierciński , Hanna Kipigroch , Barbara Kołłątaj , Marcin Tkaczyk

infant, chronic dialysis, peritoneal dialysis, outcome, children

Clinical research
Successes and pitfalls of chronic peritoneal dialysis in infants – a Polish nationwide outcome study