Gabriela de Carvalho Beduschi|Ana Elizabeth Figueiredo|Márcia Olandoski|Roberto Pecoits?Filho|Pasqual Barretti|Thyago Proença de Moraes
Automated Peritoneal Dialysis Is Associated with Better Survival Rates Compared to Continuous Ambulatory Peritoneal Dialysis: A Propensity Score Matching Analysis
Universidade Estadual Paulista (Unesp)|Pontifícia Universidade Católica do Rio Grande do Sul|Universidade Estadual Paulista (Unesp)|Universidade Estadual Paulista (Unesp)|Pontifícia Universidade Católica do Paraná|Universidade Estadual Paulista (Unesp)
impact peritoneal dialysis modality patient survival peritonitis rates fully understood largescale randomized clinical trial rct available absence rct use advanced matching procedure reduce selection bias large cohort studies may best approach aim study compare automated peritoneal dialysis apd continuous ambulatory peritoneal dialysis capd according peritonitis risk technique failure patient survival large nationwide pd cohortthis prospective cohort study included incident pd patients least 90 days pd recruited brazpd study patients treated exclusively either apd capd matched 15 different covariates using propensity score calculated nearest neighbor method clinical outcomes analyzed overall mortality technique failure time first peritonitis analysis also adjusted curves presence competing risks fine gray analysisafter matching procedure 2890 patients included analysis 1445 group baseline characteristics similar covariates including age diabetes bmi centerexperience coronary artery disease cancer literacy hypertension race previous hd gender predialysis care family income peripheral artery disease year starting pd mortality rate higher capd patients shr144 ci95121171 compared apd difference observed technique failure shr083 ci95069102 time till first peritonitis episode shr096 ci95093111in first large pd cohort study groups balanced several covariates using propensity score matching pd modality associated differences neither time first peritonitis technique failure nevertheless patient survival significantly better apd patients