PD and HD Offer Similar Survival After Transplant Failure

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Peritoneal dialysis (PD) and hemodialysis (HD) are associated with similar overall, early, and late survival rates among renal transplant recipients who return to dialysis after allograft loss, Canadian researchers found.

Jeffrey Perl, MD, of St. Michael's Hospital, University of Toronto, and colleagues analyzed data from 2,110 renal transplant patients who returned to dialysis after graft loss. Of these, 1,721 patients returned to HD and 389 returned to PD. The median follow-up was 1,043 days. During the study period, 586 HD and 130 PD patients died.

The study—published online ahead of print by Clinical Journal of the American Society of Nephrology—revealed no difference in overall survival between the PD- and HD-treated patients. The rates of early mortality (within two years) and late mortality (after two years) were similar for the two groups.

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