PRAGUE—End-stage renal disease patients who start on peritoneal dialysis (PD) rather than hemodialysis (HD) spend less time on a renal transplant waiting list before getting a kidney, new findings suggest.
In a study of 56 first-time renal transplant recipients (28 treated with PD and 28 treated with HD at dialysis initiation), PD patients received their organs in a mean of 16.6 months compared with 26.5 months for HD patients, investigators at the University of Verona in Italy led by Carlo Rugiu, MD, reported.
PD patients had other transplant-related advantages, as well. Fewer PD patients than HD patients (three vs. six) experienced delayed graft function. The total number of days with anuria was smaller in the PD than the HD group (30 vs. 60). PD patients had better mean serum creatinine levels at the end of follow-up (116.3 vs. 135 mmol/L) and fewer cases of new-onset diabetes (one vs. four) compared with HD patients, according to data presented at the European Renal Association-European Dialysis and Transplant Association 48th congress.
The two groups were similar with respect to age, gender composition, months on dialysis, BMI, and time until placement on the waiting list.