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Chua AN, Kumar R, Warady BA. Care of the pediatric patient on chronic peritoneal dialysis. Pediatr Nephrol 2022; 37:3043-3055. [PMID: 35589990 DOI: 10.1007/s00467-022-05605-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 04/29/2022] [Accepted: 04/30/2022] [Indexed: 01/10/2023]
Abstract
Peritoneal dialysis is the most commonly prescribed dialysis modality for infants and young children with kidney failure worldwide. Provision of high-quality care for the pediatric patient on chronic peritoneal dialysis requires a multidisciplinary approach and a strong collaboration with the patient and their caregiver. This article not only reviews current recommendations and advances in the care of pediatric patients on peritoneal dialysis with a focus on the provision of high-quality care and improvement in outcomes, but it also draws attention to health care disparities that exist locally and globally.
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Affiliation(s)
- Annabelle N Chua
- Division of Pediatric Nephrology, Department of Pediatrics, Duke Children's Hospital, Duke University School of Medicine, Box 3959, Durham, NC, 27710, USA.
| | - Reeti Kumar
- Division of Pediatric Nephrology, Department of Pediatrics, Duke Children's Hospital, Duke University School of Medicine, Box 3959, Durham, NC, 27710, USA
| | - Bradley A Warady
- Division of Nephrology, University of Missouri-Kansas City School of Medicine, Children's Mercy Kansas City, Kansas City, MO, USA
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Silva Novaes GR, Gutiérrez-Peredo GB, Montaño-Castellón I, Gutiérrez-Peredo AJ, Labanca Júnior MN, Mattos Brandão O, Cerqueira de Ataide S. Peritoneal dialysis in an adult patient with myelomenigocele and ventriculoperitoneal shunt. Nefrologia 2021; 41:708-710. [PMID: 36165164 DOI: 10.1016/j.nefroe.2022.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 03/05/2021] [Indexed: 06/16/2023] Open
Affiliation(s)
- Glivia Renata Silva Novaes
- Servicio de Nefrología, Hospital Universitário Professor Edgard Santos-HUPES, Universidade Federal da Bahia-UFBA, Salvador, BA, Brazil
| | - Gabriel Brayan Gutiérrez-Peredo
- Servicio de Nefrología, Hospital Universitário Professor Edgard Santos-HUPES, Universidade Federal da Bahia-UFBA, Salvador, BA, Brazil; Programa de Pós-Graduação em Medicina e Saúde-PPGMS, Universidade Federal da Bahia-UFBA, Salvador, BA, Brazil; Gerência de Ensino, Pesquisa e Extensão-GEPE/HUPES-EBSERH, Salvador, BA, Brazil.
| | - Iris Montaño-Castellón
- Programa de Pós-Graduação em Medicina e Saúde-PPGMS, Universidade Federal da Bahia-UFBA, Salvador, BA, Brazil; Gerência de Ensino, Pesquisa e Extensão-GEPE/HUPES-EBSERH, Salvador, BA, Brazil
| | - Andrea Jimena Gutiérrez-Peredo
- Programa de Pós-Graduação em Medicina e Saúde-PPGMS, Universidade Federal da Bahia-UFBA, Salvador, BA, Brazil; Gerência de Ensino, Pesquisa e Extensão-GEPE/HUPES-EBSERH, Salvador, BA, Brazil
| | - Miguel Nino Labanca Júnior
- Servicio de Nefrología, Hospital Universitário Professor Edgard Santos-HUPES, Universidade Federal da Bahia-UFBA, Salvador, BA, Brazil
| | - Oriana Mattos Brandão
- Servicio de Nefrología, Hospital Universitário Professor Edgard Santos-HUPES, Universidade Federal da Bahia-UFBA, Salvador, BA, Brazil
| | - Stenio Cerqueira de Ataide
- Servicio de Nefrología, Hospital Universitário Professor Edgard Santos-HUPES, Universidade Federal da Bahia-UFBA, Salvador, BA, Brazil; Programa de Pós-Graduação em Medicina e Saúde-PPGMS, Universidade Federal da Bahia-UFBA, Salvador, BA, Brazil
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An unusual complication of peritoneal dialysis: Answers. Pediatr Nephrol 2021; 36:2061-2063. [PMID: 33768326 DOI: 10.1007/s00467-021-05016-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Accepted: 12/08/2020] [Indexed: 10/21/2022]
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Silva Novaes GR, Gutiérrez-Peredo GB, Montaño-Castellón I, Gutiérrez-Peredo AJ, Labanca Júnior MN, Mattos Brandão O, Cerqueira de Ataide S. Peritoneal dialysis in an adult patient with myelomeningocele and ventriculoperitoneal shunt. Nefrologia 2021; 41:S0211-6995(21)00084-9. [PMID: 34120779 DOI: 10.1016/j.nefro.2021.03.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 02/24/2021] [Accepted: 03/05/2021] [Indexed: 12/18/2022] Open
Affiliation(s)
- Glivia Renata Silva Novaes
- Servicio de Nefrología, Hospital Universitário Professor Edgard Santos-HUPES, Universidade Federal da Bahia-UFBA, Salvador BA, Brasil
| | - Gabriel Brayan Gutiérrez-Peredo
- Servicio de Nefrología, Hospital Universitário Professor Edgard Santos-HUPES, Universidade Federal da Bahia-UFBA, Salvador BA, Brasil; Programa de Pós-Graduação em Medicina e Saúde-PPGMS, Universidade Federal da Bahia-UFBA, Salvador BA, Brasil; Gerência Ensino, Pesquisa e Extensão-GEPE/HUPES-EBSERH, Salvador BA, Brasil.
| | - Iris Montaño-Castellón
- Programa de Pós-Graduação em Medicina e Saúde-PPGMS, Universidade Federal da Bahia-UFBA, Salvador BA, Brasil; Gerência Ensino, Pesquisa e Extensão-GEPE/HUPES-EBSERH, Salvador BA, Brasil
| | - Andrea Jimena Gutiérrez-Peredo
- Programa de Pós-Graduação em Medicina e Saúde-PPGMS, Universidade Federal da Bahia-UFBA, Salvador BA, Brasil; Gerência Ensino, Pesquisa e Extensão-GEPE/HUPES-EBSERH, Salvador BA, Brasil
| | - Miguel Nino Labanca Júnior
- Servicio de Nefrología, Hospital Universitário Professor Edgard Santos-HUPES, Universidade Federal da Bahia-UFBA, Salvador BA, Brasil
| | - Oriana Mattos Brandão
- Servicio de Nefrología, Hospital Universitário Professor Edgard Santos-HUPES, Universidade Federal da Bahia-UFBA, Salvador BA, Brasil
| | - Stenio Cerqueira de Ataide
- Servicio de Nefrología, Hospital Universitário Professor Edgard Santos-HUPES, Universidade Federal da Bahia-UFBA, Salvador BA, Brasil; Programa de Pós-Graduação em Medicina e Saúde-PPGMS, Universidade Federal da Bahia-UFBA, Salvador BA, Brasil
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Borzych-Dużałka D, Schaefer F, Warady BA. Targeting optimal PD management in children: what have we learned from the IPPN registry? Pediatr Nephrol 2021; 36:1053-1063. [PMID: 32458134 PMCID: PMC8009785 DOI: 10.1007/s00467-020-04598-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 04/16/2020] [Accepted: 05/01/2020] [Indexed: 11/25/2022]
Abstract
National and international registries have great potential for providing data that describe disease burden, treatments, and outcomes especially in rare diseases. In the setting of pediatric end-stage renal disease (ESRD), the available data are limited to highly developed countries, whereas the lack of data from emerging economies blurs the global perspective. In order to improve the pediatric dialysis care worldwide, provide global benchmarking of pediatric dialysis outcome, and assign useful tools and management algorithms based on evidence-based medicine, the International Pediatric Peritoneal Dialysis Network (IPPN) was established in 2007. In recent years, the Registry has provided comprehensive data on relevant clinical issues in pediatric peritoneal dialysis patients including nutritional status, growth, cardiovascular disease, anemia management, mineral and bone disorders, preservation of residual kidney function, access-related complications, and impact of associated comorbidities. A unique feature of the registry is the ability to compare practices and outcomes between countries and world regions. In the current review, we describe study design and collection methods, summarize the core IPPN findings based on its 12-year experience and 13 publications, and discuss the future perspective.
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Affiliation(s)
- Dagmara Borzych-Dużałka
- Department of Pediatrics, Nephrology and Hypertension, Medical University of Gdańsk, Gdańsk, Poland.
| | - Franz Schaefer
- Center for Pediatrics and Adolescent Medicine, Heidelberg, Germany
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Colostomy in children on chronic peritoneal dialysis. Pediatr Nephrol 2020; 35:119-126. [PMID: 31673828 DOI: 10.1007/s00467-019-04372-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Revised: 09/09/2019] [Accepted: 09/18/2019] [Indexed: 10/25/2022]
Abstract
BACKGROUND This study aimed to evaluate outcome of children on chronic peritoneal dialysis (PD) with a concurrent colostomy. METHODS Patients were identified through the International Pediatric Peritoneal Dialysis Network (IPPN) registry. Matched controls were randomly selected from the registry. Data were collected through the IPPN database and a survey disseminated to all participating sites. RESULTS Fifteen centers reported 20 children who received chronic PD with a co-existing colostomy. The most common cause of end stage kidney disease was congenital anomalies of the kidney and urinary tract (n = 16, 80%). The main reason for colostomy placement was anorectal malformation (n = 13, 65%). The median age at colostomy creation and PD catheter (PDC) insertion were 0.1 (IQR, 0-2.2) and 2.8 (IQR 0.2-18.8) months, respectively. The colostomies and PDCs were present together for a median 18 (IQR, 4.9-35.8) months. The median age at PDC placement in 46 controls was 3.4 (IQR, 0.2-7.4) months of age. Fourteen patients (70%) developed 39 episodes of peritonitis. The annualized peritonitis rate was significantly higher in the colostomy group (1.13 vs. 0.70 episodes per patient year; p = 0.02). Predominant causative microorganisms were Staphylococcus aureus (15%) and Pseudomonas aeruginosa (13%). There were 12 exit site infection (ESI) episodes reported exclusively in colostomy patients. Seven colostomy children (35%) died during their course of PD, in two cases due to peritonitis. CONCLUSION Although feasible in children with a colostomy, chronic PD is associated with an increased risk of peritonitis and mortality. Continued efforts to reduce infection risk for this complex patient population are essential.
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Abstract
Optimal care of the pediatric end-stage renal disease (ESRD) patient on chronic dialysis is complex and requires multidisciplinary care as well as patient/caregiver involvement. The dialysis team, along with the family and patient, should all play a role in choosing the dialysis modality which best meets the patient's needs, taking into account special considerations and management issues that may be particularly pertinent to children who receive peritoneal dialysis or hemodialysis. Meticulous attention to dialysis adequacy in terms of solute and fluid removal, as well as to a variety of clinical manifestations of ESRD, including anemia, growth and nutrition, chronic kidney disease-mineral bone disorder, cardiovascular health, and neurocognitive development, is essential. This review highlights current recommendations and advances in the care of children on dialysis with a particular focus on preventive measures to minimize ESRD-associated morbidity and mortality. Advances in dialysis care and prevention of complications related to ESRD and dialysis have led to better survival for pediatric patients on dialysis.
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Infections in Hydrocephalus Shunts. Infect Dis (Lond) 2017. [DOI: 10.1016/b978-0-7020-6285-8.00024-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Wright E, Fischbach M, Zaloszyc A, Paglialonga F, Aufricht C, Dufek S, Bakkaloğlu S, Klaus G, Zurowska A, Ekim M, Ariceta G, Holtta T, Jankauskiene A, Schmitt CP, Stefanidis CJ, Walle JV, Vondrak K, Edefonti A, Shroff R. Hemodialysis in children with ventriculoperitoneal shunts: prevalence, management and outcomes. Pediatr Nephrol 2016; 31:137-43. [PMID: 26386590 DOI: 10.1007/s00467-015-3204-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Revised: 08/13/2015] [Accepted: 08/28/2015] [Indexed: 11/30/2022]
Abstract
BACKGROUND Hemodialysis (HD) in children with a concomitant ventriculoperitoneal shunt (VPS) is rare. Registry data suggest that peritoneal dialysis with a VPS is safe, but little is known about HD in the presence of a VPS. METHODS We performed a 10-year survey to determine the prevalence of a VPS, complications and outcome in children with a VPS on HD in 15 dialysis units from the 13 countries participating in the European Pediatric Dialysis Working Group. RESULTS Eleven cases of HD with a VPS were reported (prevalence 1.33 %; 328 patient-months) and compared with prospective Registry data. The median age at start of dialysis was 9.6 [inter-quartile range (IQR) 1.0-15.0] years and median HD vintage was 2.4 (IQR 1.7-3.0) years. Dialysis was performed through a central venous line (CVL) and through an arteriovenous fistula in six and five children, respectively. Three CVL infections occurred in two children, but these children did not develop VPS infections or meningitis. Symptoms of hemodynamic instability were reported in six (55 %) children at least once per week, with hypotension or hypertension occurring in four of these children and nausea, vomiting and headaches occurring in two; four other children reported less frequent symptoms. Seizures on dialysis occurred in two children, at a frequency of less than once per month, with one child also experiencing visual disturbances. During follow-up (median 4.0; IQR 0.38-7.63 years), three children remained on HD and eight had a functioning transplant. No patients were switched to PD. CONCLUSIONS Hemodialysis in children with a VPS is safe, but associated with frequent symptoms of hemodynamic instability. No episodes of VPS infection or meningitis were seen among the children in the survey, not even in those with CVL sepsis.
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Affiliation(s)
- Elizabeth Wright
- Nephro-Urology Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, WC1N 3JH, UK
| | | | | | - Fabio Paglialonga
- Fondazione IRCCS Ca' Grande Ospedale Maggiore Policlinico, Milan, Italy
| | | | - Stephanie Dufek
- Nephro-Urology Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, WC1N 3JH, UK
| | | | | | | | | | - Gema Ariceta
- University Hospital Vall d'Hebron, Barcelona, Spain
| | | | | | | | | | | | | | - Alberto Edefonti
- Fondazione IRCCS Ca' Grande Ospedale Maggiore Policlinico, Milan, Italy
| | - Rukshana Shroff
- Nephro-Urology Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, WC1N 3JH, UK.
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Guidelines for laparoscopic peritoneal dialysis access surgery. Surg Endosc 2014; 28:3016-45. [DOI: 10.1007/s00464-014-3851-9] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2014] [Accepted: 08/08/2014] [Indexed: 10/24/2022]
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11
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Ercan Z, Yildirim T, Merhametsiz O, Yayar O, Haspulat A, Ayli MD. Abdominal pseudocyst development in a peritoneal dialysis patient with a ventriculoperitoneal shunt: an indication for switch to hemodialysis? Perit Dial Int 2014; 34:470-1. [PMID: 24991058 DOI: 10.3747/pdi.2013.00069] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Zafer Ercan
- Yildirim Beyazit Training and Research Hospital Nephrology Clinic Ankara, Turkey
| | - Tolga Yildirim
- Yildirim Beyazit Training and Research Hospital Nephrology Clinic Ankara, Turkey
| | - Ozgur Merhametsiz
- Yildirim Beyazit Training and Research Hospital Nephrology Clinic Ankara, Turkey
| | - Ozlem Yayar
- Yildirim Beyazit Training and Research Hospital Nephrology Clinic Ankara, Turkey
| | - Ayhan Haspulat
- Yildirim Beyazit Training and Research Hospital Nephrology Clinic Ankara, Turkey
| | - Mehmet Deniz Ayli
- Yildirim Beyazit Training and Research Hospital Nephrology Clinic Ankara, Turkey
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Experience of concurrent peritoneal dialysis and VPS. Nat Rev Nephrol 2012. [DOI: 10.1038/nrneph.2012.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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