According to the literature source of study which compared technique survival in a cohort of patients who started either early (defined as break-in period from 3 or 14 days after catheter insertion with no previous nephrologist follow up or patient/family training) or planned (defined as break-in period of more than 14 days after catheter placement regardless of previous nephrologist follow up) peritoneal dialysis (pd).A total of 154 patients initiated pd during the study period, 40 of which was early start pd.All patients were treated with lactate-buffered glucose dialysate.There were two different brands of machine in which the pd was performed either by the two.Comparing early vs.Planned-start groups, there were no differences regarding pd dropout for peritonitis.Less patients in early start group quit pd for peritoneal membrane failure in comparison to planned-start group.In multivariate cox-regression analysis, the only factors independently associated with technique failure were bmi and diabetes mellitus, whereas no differences regarding early vs.Planned-pd start were observed.Despite the adverse scenario for initiating dialysis, early start pd had similar outcomes in comparison to planned-start pd, after a relatively long follow-up period.This study brings one more piece of evidence to support pd as an alternative treatment for renal replacement therapy in the context of urgent/early start dialysis.
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