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Diabetic Patients on Peritoneal Dialysis
Author(s) -
Passadakis Ploumis S.,
Oreopoulos Dimitrios G.
Publication year - 2010
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/j.1525-139x.2010.00707.x
Subject(s) - medicine , peritoneal dialysis , dialysis , hemodialysis , intensive care medicine , renal replacement therapy , diabetes mellitus , surgery , endocrinology
During the past two decades, a number of studies have tried to evaluate the clinical status of dialyzed diabetic patients and the factors that may affect their outcomes. However, only a small number of diabetic patients on peritoneal dialysis (PD) have been followed for over 5 years, which is largely because of the presence of various comorbid conditions at the start of dialysis, the coexisting, far‐advanced, target‐organ damage that may gradually progress during the course of dialysis and limit the long‐term survival on PD. On the contrary, among renal replacement therapies, survival of diabetic patients undergoing either PD or hemodialysis (HD) is probably similar, while diabetic patients on PD and HD have a lower actuarial survival than nondiabetic counterparts. This paper reviews our experience and the literature concerning the long‐term outcome of diabetic patients on PD.