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Guillouët S. Illustration d’une recherche, l’étude Pancadipe. Rev Infirm 2023; 72:45-46. [PMID: 37952997 DOI: 10.1016/j.revinf.2023.09.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2023]
Affiliation(s)
- Sonia Guillouët
- CHU de Caen-Normandie, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France; Section 92, PFRS Université de Caen - U1086 Anticipe, 14000 Caen, France.
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Guillouët S. De la soumission à la publication d’un article. Rev Infirm 2023; 72:47-48. [PMID: 37633696 DOI: 10.1016/j.revinf.2023.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/28/2023]
Affiliation(s)
- Sonia Guillouët
- CHU de Caen Normandie, Avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France; Section 92, PFRS Université de Caen, U1086 Anticipe, Caen, France
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Affiliation(s)
- Sonia Guillouët
- CHU de Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen cedex, France; Section 92, Pôle de formation et de recherche en santé, Université de Caen, 2 rue des Rochambelles, 14032 Caen cedex 5, France.
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Guillouët S. Les points Sigaps. Rev Infirm 2023; 72:47-48. [PMID: 37247991 DOI: 10.1016/j.revinf.2023.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Affiliation(s)
- Sonia Guillouët
- U1086 Anticipe, CHU de Caen-Normandie, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France.
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Fontaine S, Gautier L, Diependaele AS, Hamieh M, Morello R, Guillouët S, Bertran F. Impact of educational actions on the quality of life of patients with epilepsy: A randomised controlled trial. Epilepsy Res 2023; 192:107128. [PMID: 37027966 DOI: 10.1016/j.eplepsyres.2023.107128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 02/08/2023] [Accepted: 03/20/2023] [Indexed: 04/07/2023]
Abstract
INTRODUCTION Epilepsy is a common and disabling disease for patients and their families. The care of these patients is no longer limited to the simple control of seizures, but considers, in a more global way, their quality of life (QOL). Improving the QOL is precisely one of the main objectives of therapeutic education. The aim of this study was to evaluate the impact of educational actions on the global QOL of patients with epilepsy. MATERIALS AND METHODS This study was carried out between October 2016 and August 2018. 80 patients were included over 18 years old with an epileptic condition diagnosed for at least 6 months and treated in the University Hospital of Caen Normandy in France. They were randomised to either the control group with usual care or the experimental group with the group educational sessions. The overall score for the QOLIE-31 survey was assessed from the inclusion (M0) and 6 months late. RESULTS At the M0 mark, the score of the control group (58.1 ± 12.3) was significantly lower than that of the experimental group (61.1 ± 14.3). After 6 months, the overall QOL score, was significantly higher for the experimental group compared to the control group (p = 0.002). In the experimental group, the overall score went from 61.1 ± 14.3-69 ± 14.2 and in the control group it went from 58.1 ± 12.3-58 ± 16.2. DISCUSSION The quality-of-life overall score for patients having participated in educational actions provided by epilepsy specialist nurses improved significantly. Complementary research is necessary to assess the sustainability of these effects and interactions with the caregivers.
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Guillouët S. Faut-il faire évoluer la loi sur la fin de vie ? Rev Infirm 2022; 71:1. [PMID: 36599521 DOI: 10.1016/j.revinf.2022.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Sonia Guillouët
- CHU de Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen cedex, France.
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Guillouët S. De l’obtention du financement au lancement d’une étude (2/2). Rev Infirm 2022; 71:51-52. [PMID: 36599535 DOI: 10.1016/j.revinf.2022.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Sonia Guillouët
- CHU de Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen cedex, France.
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Guillouët S. [Search for financing]. Rev Infirm 2022; 71:45-46. [PMID: 35843645 DOI: 10.1016/j.revinf.2022.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- Sonia Guillouët
- CHU de Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen, France; Université de Caen, esplanade de la Paix, CS 14032, 14032 Caen cedex 5, France.
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Guillouët S. [Other elements of a research protocol]. Rev Infirm 2022; 71:49-50. [PMID: 35397846 DOI: 10.1016/j.revinf.2022.01.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Sonia Guillouët
- CHU Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen, France.
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Affiliation(s)
- Sonia Guillouët
- Direction de la recherche et de l'enseignement, direction des soins, CHU de Caen Normandie, avenue de la Côte-de-Nacre, 14000 Caen, France.
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Guillouët S. [Not Available]. Rev Infirm 2021; 70:1. [PMID: 34752349 DOI: 10.1016/j.revinf.2021.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Sonia Guillouët
- Direction de la recherche et de l'enseignement, direction des soins, CHU de Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen, France.
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Béchade C, Lanot A, Guillouët S, Ficheux M, Boyer A, Lobbedez T. Impact of assistance on peritonitis due to breach in aseptic procedure in diabetic patients: A cohort study with the RDPLF data. Perit Dial Int 2021; 42:185-193. [PMID: 34514906 DOI: 10.1177/08968608211039669] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Diabetic patients often have physical impairment that could lead to manipulation errors in peritoneal dialysis (PD) and touch contamination. Nurse assistance in diabetic PD patients is known to help prevent peritonitis. We made the hypothesis that this lower risk of peritonitis was observed thanks to prevention of breach in aseptic procedure. We evaluated the impact of nurse-assisted PD on specific causes of peritonitis, especially on peritonitis due to a breach in aseptic procedure. METHODS This was a retrospective observational study of the data from the French Language Peritoneal Dialysis Registry. All diabetic patients older than age 18 years starting PD in France between 1 January 2012 and 31 December 2015 were included in the study. The event of interest was the first peritonitis event due to a breach in aseptic procedure. Death, kidney transplantation and peritonitis due to another mechanism were considered as competing events. We examined the association of the covariates with all the possible outcomes using a subdistribution hazard model developed for survival analysis in the presence of competing risks. RESULTS Four thousand one hundred one diabetic patients incident in PD were included in the study. At least one peritonitis event occurred in 1611 patients over the study period. A breach in aseptic procedure was reported in 441/1611 cases (27.3%): 209/575 (36.3%) in the self-care PD group, 56/217 (25.8%) in the family-assisted PD group and 176/819 (21.5%) in the nurse-assisted PD group. Both nurse and family assistance were associated with a lower risk of peritonitis due to breach in aseptic procedure in bivariate analysis. After adjustment on age, modified Charlson index, sex and diabetic nephropathy, patients treated by nurse-assisted PD (subdistribution hazard ratio (sd-HR) 0.52, 95% confidence interval (CI) 0.40-0.67) and those treated by family-assisted PD (sd-HR 0.70, 95% CI 0.51-0.95) had a lower likelihood of peritonitis due to a connection error compared to self-care PD in multivariate analysis. The modality of assistance was not associated with other causes of peritonitis in the multivariate analysis. CONCLUSION While both nurse-assisted PD and family-assisted PD were associated with lower risk of peritonitis due to a breach in aseptic procedure compared to self-care PD in our study, the protective effect was greater with nurse assistance.
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Affiliation(s)
- Clémence Béchade
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France.,"ANTICIPE" U1086 INSERM-UCN, Centre François Baclesse, Caen, France
| | - Antoine Lanot
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France.,"ANTICIPE" U1086 INSERM-UCN, Centre François Baclesse, Caen, France
| | - Sonia Guillouët
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France
| | - Maxence Ficheux
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France
| | - Annabel Boyer
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France
| | - Thierry Lobbedez
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France.,"ANTICIPE" U1086 INSERM-UCN, Centre François Baclesse, Caen, France
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Guillouët S. [Not Available]. Rev Infirm 2021; 70:49-50. [PMID: 34446239 DOI: 10.1016/j.revinf.2021.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Sonia Guillouët
- Direction de la recherche et de l'enseignement, direction des soins, CHU de Caen Normandie, avenue de la Côte-de-Nacre, 14000 Caen, France.
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Guillouët S, Thibault C. [Reception of patients with chronic renal failure, COVID-19]. Rev Infirm 2021; 70:41-42. [PMID: 34024584 DOI: 10.1016/j.revinf.2021.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The renal disease center of the university hospital of Caen Normandy (14) is dedicated to the ambulatory care of patients with chronic renal disease, including those treated by dialysis or transplanted. These are fragile patients and, for many of them, coming to the center is inevitable for their care. Faced with the COVID-19 pandemic, the care teams have shown a great capacity to adapt, even to be creative, in order to welcome and care for them in optimal safety conditions.
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Affiliation(s)
- Sonia Guillouët
- Centre universitaire des maladies rénales, CHU de Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France.
| | - Catherine Thibault
- Centre universitaire des maladies rénales, CHU de Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France
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Affiliation(s)
- Sonia Guillouët
- Direction de la recherche et de l'enseignement, direction des soins, CHU de Caen-Normandie, avenue de la Côte-de-Nacre, 14000 Caen, France.
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Abstract
Outcomes of patients treated by peritoneal dialysis depends on their characteristics, which generally cannot be modified. Conversely, center characteristics or practices having an effect on the outcomes of patients and may be subject to change. Study the center effect and identify "center" variables associated with the patient's future is therefore necessary. Taken as part of a science thesis, the importance of the center effect and the role and importance of nursing home visits in preventing peritoneal infections. We also observed that there was a disparity between centers in the use and allocation of home assistance by a nurse for carrying out dialysis. In a context where organizations favor the versatility of health professionals, our work underlines the importance of the experience and expertise of peritoneal dialysis nurses in the success of the method.
Increasing the size of the centers and optimizing resources could have a beneficial effect on the survival of the method by improving the experience of the centers.
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Bonnal H, Bechade C, Boyer A, Lobbedez T, Guillouët S, Verger C, Ficheux M, Lanot A. Effects of educational practices on the peritonitis risk in peritoneal dialysis: a retrospective cohort study with data from the French peritoneal Dialysis registry (RDPLF). BMC Nephrol 2020; 21:205. [PMID: 32471380 PMCID: PMC7260816 DOI: 10.1186/s12882-020-01867-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Accepted: 05/25/2020] [Indexed: 12/02/2022] Open
Abstract
Background Peritoneal dialysis (PD) is a home-based therapy performed by patients or their relatives in numerous cases, and the role of patients’ educational practices in the risk of peritonitis is not well assessed. Our aim was to evaluate the effect of PD learning methods on the risk of peritonitis. Methods This was a retrospective multicentric study based on data from a French registry. All incident adults assisted by family or autonomous for PD exchanges in France between 2012 and 2015 were included. The event of interest was the occurrence of peritonitis. Cox and hurdle regression models were used for statistical analysis to asses for the survival free of peritonitis, and the risk of first and subsequent peritonitis. Results 1035 patients were included. 967 (93%) received education from a specialized nurse. Written support was used for the PD learning in 907 (87%) patients, audio support in 221 (21%) patients, and an evaluation grid was used to assess the comprehension in 625 (60%) patients. In the “zero” part of the hurdle model, the use of a written support and starting PD learning with hands-on training alone were associated with a lower survival free of peritonitis (respectively HR 1.59, 95%CI 1.01–2.5 and HR 1.94, 95%CI 1.08–3.49), whereas in the “count” part, the use of an audio support and starting of PD learning with hands-on training in combination with theory were associated with a lower risk of presenting further episodes of peritonitis after a first episode (respectively HR 0.55, 95%CI 0.31–0.98 and HR 0.57, 95%CI 0.33–0.96). Conclusions The various PD education modalities were associated with differences in the risk of peritonitis. Prospective randomized trials are necessary to confirm causal effect. Caregivers should assess the patient’s preferred learning style and their literacy level and adjust the PD learning method to each individual.
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Affiliation(s)
- Hélène Bonnal
- Normandie Univ, UNICAEN, CUMR, CHU de Caen Normandie, Néphrologie, Avenue de la cote de nacre, 14033, Caen-Cedex, France.,U1086 INSERM - ANTICIPE - Centre Régional de Lutte Contre le Cancer François Baclesse, Caen, France
| | - Clémence Bechade
- Normandie Univ, UNICAEN, CUMR, CHU de Caen Normandie, Néphrologie, Avenue de la cote de nacre, 14033, Caen-Cedex, France.,U1086 INSERM - ANTICIPE - Centre Régional de Lutte Contre le Cancer François Baclesse, Caen, France
| | - Annabel Boyer
- Normandie Univ, UNICAEN, CUMR, CHU de Caen Normandie, Néphrologie, Avenue de la cote de nacre, 14033, Caen-Cedex, France.,U1086 INSERM - ANTICIPE - Centre Régional de Lutte Contre le Cancer François Baclesse, Caen, France
| | - Thierry Lobbedez
- Normandie Univ, UNICAEN, CUMR, CHU de Caen Normandie, Néphrologie, Avenue de la cote de nacre, 14033, Caen-Cedex, France.,RDPLF, 30 Rue Sere Depoin, 95 300, Pontoise, France
| | - Sonia Guillouët
- Normandie Univ, UNICAEN, CUMR, CHU de Caen Normandie, Néphrologie, Avenue de la cote de nacre, 14033, Caen-Cedex, France
| | | | - Maxence Ficheux
- Normandie Univ, UNICAEN, CUMR, CHU de Caen Normandie, Néphrologie, Avenue de la cote de nacre, 14033, Caen-Cedex, France
| | - Antoine Lanot
- Normandie Univ, UNICAEN, CUMR, CHU de Caen Normandie, Néphrologie, Avenue de la cote de nacre, 14033, Caen-Cedex, France. .,U1086 INSERM - ANTICIPE - Centre Régional de Lutte Contre le Cancer François Baclesse, Caen, France.
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Affiliation(s)
- Sonia Guillouët
- Centre hospitalier universitaire de Caen Normandie, Direction des soins, avenue de la Côte-de-Nacre, 14000 Caen, France.
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Affiliation(s)
- Sonia Guillouët
- Direction des soins, CHU Caen-Normandie, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France.
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Uteza S, Thuillier Lecouf A, Videloup L, Béchade C, Henri P, Guillouët S. [Descriptive study of practices with patients in conservative care practices in a French district, the Normandy]. Nephrol Ther 2019; 15:517-523. [PMID: 31718994 DOI: 10.1016/j.nephro.2019.06.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 05/31/2019] [Accepted: 06/10/2019] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Renal replacement therapy and renal transplantation can't be considered as the only way to treat old end-stage renal disease patients. Nowadays conservative management has to be considered and proposed as a treatment option to patients with a chronic kidney disease. The aim of this study was to describe nephrologists' practices concerning conservative management care in a French department. MATERIAL AND METHOD A cross-sectional practices survey has been conducted in 2015. A survey was sent to 66 nephrologists in 14 treatment centers in the Normandy region. RESULTS 49 of the 66 nephrologists responded to the questionnaire. Among the 48 nephrologists who responded to the questionnaire, 38 out of 48 (79.2%) did not use decision support tools to implement conservative treatment. In all, 42/48 (87.5%) nephrologists did not discuss with their colleagues before providing conservative treatment. Meeting dedicated to the decision of conservative treatment did not exist in any center surveyed in this study. When conservative management was chosen, 34/48 nephrologists (70.8%) discussed end-of-life. And 31/48 nephrologists (64.6%) used the term "death". CONCLUSION The results of this study show that the course of the patients in conservative treatment is heterogeneous and is not formalized. Improvements are needed to integrate conservative treatment for patients with chronic kidney disease.
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Affiliation(s)
- Sophie Uteza
- Normandie Univ, UNICAEN, CHU de Caen Normandie, néphrologie,14000 Caen, France
| | | | - Ludivine Videloup
- Normandie Univ, UNICAEN, CHU de Caen Normandie, néphrologie,14000 Caen, France
| | - Clémence Béchade
- Normandie Univ, UNICAEN, CHU de Caen Normandie, néphrologie, Inserm ANTICIPE 1086, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - Patrick Henri
- Normandie Univ, UNICAEN, CHU de Caen Normandie, néphrologie,14000 Caen, France
| | - Sonia Guillouët
- Normandie Univ, UNICAEN, CHU de Caen Normandie, néphrologie, Inserm ANTICIPE 1086, avenue de la Côte-de-Nacre, 14000 Caen, France.
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Guillouët S, Boyer A, Lanot A, Ficheux M, Lobbedez T, Béchade C. Assessment for Assisted Peritoneal Dialysis by Peritoneal Dialysis Nurses: Results of a Cohort Study. Am J Nephrol 2019; 50:489-498. [PMID: 31671419 DOI: 10.1159/000503622] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2019] [Accepted: 09/24/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND Selection of patients for assisted peritoneal dialysis (PD) is based on the nurse's assessment of the patient. There is no data available about the nurse's assessment of the PD patient at the initiation of PD to estimate the need for assisted PD at the national level. This study was carried out to evaluate the association between the nurse's subjective assessment of the patient's inability to be treated by self-care PD, the nurse evaluation of the patient disabilities and the utilization of nurse or family assisted PD. METHODS This was a retrospective study of patients starting PD between July 1, 2010 and 2015 and registered in the nurse section of the French Language PD Registry (RDPLF). Poisson regression and a linear regression model with a robust variance estimator were used for the statistical analysis to determine relative risks (RRs) and risk differences (RDs). RESULTS Of 4,101 PD patients, 403 were treated by family assisted PD, and 1,695 were treated by nurse-assisted PD. In the multivariate analysis, the nurse's subjective assessment of the patient's inability to be treated by self-care PD was associated with nurse-assisted PD (5.40 [4.58-6.35], 67% [64-70%]) and family assisted PD (11.11 [8.49-14.56], RD 62% [57-67%]). Nurse-assisted PD and family assisted PD were associated with functional impairment (RR 1.25 [95% CI 1.16-1.36], RD 14% [95% CI 10-19%] and RR 2.02 [95% CI 1.69-2.41], RD 27% [95% CI 20-34%] respectively), cognitive dysfunction (RR 1.23 [95% CI 1.15-1.32], RD 15% [95% CI 11-18%] and RR 1.73 [95% CI 1.39-2.16], RD 12% [95% CI 7-18%] respectively) and deafness (RR 1.10 [95% CI 1.04-1.16], RD 8% [95% CI 5-11%] and RR 1.46 [95% CI 1.22-1.74], RD 10% [95% CI 6-14%] respectively). CONCLUSION Our results showed that the nurse's subjective assessment of the patient's inability to be treated by self-care PD and the patient's disabilities were strongly associated with the utilization of nurse- and family assisted PD.
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Affiliation(s)
- Sonia Guillouët
- Normandie University, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France
- RDPLF, 30 rue Sere Depoin, Pontoise, France
| | - Annabel Boyer
- Normandie University, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France
| | - Antoine Lanot
- Normandie University, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France
| | - Maxence Ficheux
- Normandie University, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France
| | - Thierry Lobbedez
- Normandie University, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France,
- RDPLF, 30 rue Sere Depoin, Pontoise, France,
- Université Caen Normandie, UFR de Médecine (Medical School), Caen, France,
| | - Clémence Béchade
- Normandie University, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France
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Guillouët S. [Not Available]. Rev Infirm 2019; 68:1. [PMID: 31147065 DOI: 10.1016/j.revinf.2019.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Sonia Guillouët
- Direction des soins, Avenue de la Côte-de-Nacre, 14000 Caen, France.
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Guillouët S. [Not Available]. Rev Infirm 2019; 68:47-48. [PMID: 31147079 DOI: 10.1016/j.revinf.2019.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Sonia Guillouët
- Direction des soins, avenue de la Côte-de-Nacre, 14000 Caen, France.
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Guillouët S. [Not Available]. Rev Infirm 2019; 68:15. [PMID: 31056168 DOI: 10.1016/j.revinf.2019.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Sonia Guillouët
- CHU Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen, France.
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Guillouët S. [Not Available]. Rev Infirm 2019; 68:49-50. [PMID: 30955545 DOI: 10.1016/j.revinf.2019.01.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Sonia Guillouët
- Direction des soins, avenue de la Côte-de-Nacre, 14033 Caen, France.
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Guillouët S. [Not Available]. Rev Infirm 2018; 67:47-48. [PMID: 30591138 DOI: 10.1016/j.revinf.2018.10.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Sonia Guillouët
- CHU de Caen, Direction des soins, avenue de la Côte-de-Nacre, 14033 Caen, France.
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Guilloteau S, Lobbedez T, Guillouët S, Verger C, Ficheux M, Lanot A, Béchade C. Impact of Assisted Peritoneal Dialysis Modality on Outcomes: A Cohort Study of the French Language Peritoneal Dialysis Registry. Am J Nephrol 2018; 48:425-433. [PMID: 30463079 DOI: 10.1159/000494664] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Accepted: 10/16/2018] [Indexed: 11/19/2022]
Abstract
BACKGROUND Patients on peritoneal dialysis (PD) can be assisted by a nurse or a family member and treated either by automated PD (APD) or continuous ambulatory PD (CAPD). The aim of this study was to evaluate the effect of PD modality and type of assistance on the risk of transfer to haemodialysis (HD) and on the peritonitis risk in assisted PD patients. METHOD This was a retrospective study based on data from the French Language PD Registry. All adults starting assisted PD in France between 2006 and 2015 were included. Events of interest were transfer to HD, peritonitis and death. Cox regression models were used for statistical analysis. RESULTS Among the 12,144 incident patients who started PD in France during the study period, 6,167 were assisted. There were 5,060 nurse-assisted and 1,095 family-assisted PD patients. Overall, 5,171 were treated by CAPD and 996 by APD. In multivariate analysis, CAPD, compared to APD, was not associated with the risk of transfer to HD (cause specific hazard ratios [cs-HR] 0.96 [95% CI 0.84-1.09]). Patients on nurse-assisted PD had a lower risk of transfer to HD than family assisted PD patients (cs-HR 0.85 [95% CI 0.75-0.97]). Neither PD modality nor type of assistance were associated with peritonitis risk. CONCLUSIONS In assisted PD, technique survival was not associated with PD modality. Nurse-assisted patients had a lower risk of transfer to HD than family assisted patients. Peritonitis risk was not influenced either by PD modality, or by type of assistance. Both APD and CAPD should be offered to assisted-PD patients.
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Affiliation(s)
- Solène Guilloteau
- Néphrologie, CHU Caen, Avenue de la Côte de Nacre, Caen, France
- U1086 INSERM - ANTICIPE - Center Régional de Lutte contre le Cancer François Baclesse, Caen, France
| | - Thierry Lobbedez
- Néphrologie, CHU Caen, Avenue de la Côte de Nacre, Caen, France
- RDPLF, 30 rue Sere Depoin, Pontoise, France
| | - Sonia Guillouët
- Néphrologie, CHU Caen, Avenue de la Côte de Nacre, Caen, France
| | | | - Maxence Ficheux
- Néphrologie, CHU Caen, Avenue de la Côte de Nacre, Caen, France
| | - Antoine Lanot
- Néphrologie, CHU Caen, Avenue de la Côte de Nacre, Caen, France
| | - Clémence Béchade
- Néphrologie, CHU Caen, Avenue de la Côte de Nacre, Caen, France,
- U1086 INSERM - ANTICIPE - Center Régional de Lutte contre le Cancer François Baclesse, Caen, France,
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Affiliation(s)
- Sonia Guillouët
- CHU de Caen Normandie, direction des soins, avenue de la Côte-de-Nacre, 14033 Caen, France.
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Guillouët S. [Not Available]. Rev Infirm 2018; 67:1. [PMID: 30415678 DOI: 10.1016/j.revinf.2018.08.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Sonia Guillouët
- CHU de Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen, France.
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Ducourtil C, Prevos-Morgant M, Guillouët S. [Therapeutic education of epileptic patients and quality of life]. Rev Infirm 2018; 67:23-24. [PMID: 30262005 DOI: 10.1016/j.revinf.2018.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Therapeutic patient education (TPE) is a public health priority. Epilepsy TPE aims to improve quality of life and promote patient independence. Evolution of training and nursing roles, development of personalised support, creation of new tools and including the patient as participant in his course of treatment have modified this therapeutic education. Nursing research projects in TPE are also emerging.
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Affiliation(s)
- Clémence Ducourtil
- Unité d'observation neurologique (UON), Établissement médical de La Teppe, 25, avenue de La Bouterne, 26600 Tain-l'Hermitage, France; Centre hospitalier de Valence, 179, boulevard Maréchal-Juin, 26953 Valence, France
| | - Marielle Prevos-Morgant
- Unité d'observation neurologique (UON), Établissement médical de La Teppe, 25, avenue de La Bouterne, 26600 Tain-l'Hermitage, France; Institut des épilepsies IDEE, 59, boulevard Pinel, 69500 Bron, France
| | - Sonia Guillouët
- Direction des soins, CHU Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen, France.
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Guillouët S, Lobbedez T, Lanot A, Verger C, Ficheux M, Béchade C. Factors associated with nurse assistance among peritoneal dialysis patients: a cohort study from the French Language Peritoneal Dialysis Registry. Nephrol Dial Transplant 2018; 33:1446-1452. [PMID: 29294042 DOI: 10.1093/ndt/gfx338] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2017] [Accepted: 11/09/2017] [Indexed: 11/13/2022] Open
Abstract
Background No information is available regarding nurse-assisted peritoneal dialysis (PD) in non-elderly subjects. This study was carried out to estimate the rate of nurse-assisted PD among non-elderly patients and to assess which individual and centre factors were associated with nurse-assisted PD. The other objective was to estimate the magnitude of the centre effect on the utilization of nurse-assisted PD using hierarchical modelling. Methods This was a retrospective study based on data from the French Language Peritoneal Dialysis Registry. Patients incident on PD > 18 and < 65 years of age were included. Results There were 2269 incidents of PD initiation between January 2008 and December 2012 in 127 PD centres with 114 (5%) on family-assisted PD and 272 (12%) on nurse-assisted PD. At the individual level, compared with autonomous patients, nurse assistance was associated with age {odds ratio [OR] 1.79 [95% confidence interval (CI) 1.51-2.13]}, gender [OR 0.47 (95% CI 0.35-0.64)], comorbidities and underlying nephropathy. There was significant heterogeneity between centres in the nurse assistance utilization (variance of random effect 0.12). At the centre level, the type of centre, centre experience, centre organization and private nurse density were not associated with nurse-assisted PD. Conclusions The rate of nurse-assisted PD among non-elderly patients was 12%. There was a significant centre effect in the utilization of nurse assistance that was not explained by the centres' characteristics. Nurse-assisted PD utilization in non-elderly patients is associated with patient characteristics and also with centre practices.
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Affiliation(s)
- Sonia Guillouët
- Service de Néphrologie, CHU de Caen, Caen Cedex 9, France.,Registre de Dialyse Péritonéale de Langue Française, Pontoise, France
| | - Thierry Lobbedez
- Service de Néphrologie, CHU de Caen, Caen Cedex 9, France.,Registre de Dialyse Péritonéale de Langue Française, Pontoise, France.,Université Caen Normandie-UFR de Médecine (Medical School), Caen Cedex 5, France
| | - Antoine Lanot
- Service de Néphrologie, CHU de Caen, Caen Cedex 9, France.,Université Caen Normandie-UFR de Médecine (Medical School), Caen Cedex 5, France
| | - Christian Verger
- Registre de Dialyse Péritonéale de Langue Française, Pontoise, France
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Guillouët S. [Not Available]. Rev Infirm 2018; 67:13. [PMID: 30262001 DOI: 10.1016/j.revinf.2018.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Sonia Guillouët
- Direction des soins, centre hospitalier universitaire (CHU) de Caen Normandie, avenue de la Côte-de-Nacre, 14033 Caen, France.
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Da Cunha M, Guillouët S. La recherche documentaire (3/3). Rev Infirm 2018; 67:39-40. [PMID: 29907180 DOI: 10.1016/j.revinf.2018.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Maria Da Cunha
- CHU de Bordeaux, Place Amélie Raba Leon, 33076 Bordeaux Cedex, France.
| | - Sonia Guillouët
- CHU de Caen, Direction des soins, Avenue de la Côte de Nacre, 14033 Caen, France
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Affiliation(s)
- Maria Da Cunha
- CHU de Bordeaux, Place Amélie Raba Leon, 33076 Bordeaux Cedex, France.
| | - Sonia Guillouët
- CHU de Caen, Direction des soins, Avenue de la Côte de Nacre, 14033 Caen, France
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Béchade C, Guillouët S, Verger C, Ficheux M, Lanot A, Lobbedez T. Centre characteristics associated with the risk of peritonitis in peritoneal dialysis: a hierarchical modelling approach based on the data of the French Language Peritoneal Dialysis Registry. Nephrol Dial Transplant 2018; 32:1018-1023. [PMID: 28472525 DOI: 10.1093/ndt/gfx051] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Accepted: 02/27/2017] [Indexed: 01/01/2023] Open
Abstract
Background. This study investigated the centre effect on the risk of peritonitis in peritoneal dialysis (PD) patients. Methods. This was a retrospective cohort study based on data from the French Language Peritoneal Dialysis Registry. We analysed 5017 incident patients starting PD between January 2008 and December 2012 in 127 PD centres. The end of the observation period was 1 January 2014. The event of interest was the first peritonitis episode. The analysis was performed with a multilevel Cox model and a Fine and Gray model. Results. Among the 5017 patients, 3190 peritonitis episodes occurred in 1796 patients. There was significant heterogeneity between centres (variance of the random effect: 0.11). The variance of the centre effect was reduced by 9% after adjusting for patient characteristics and by 35% after adjusting on centre covariate. In the multivariate analysis with a multilevel Cox model, centre with a nurse specialized in PD or centre providing home visits before dialysis initiation decreased the centre effect on peritonitis. Patients treated in centres with a nurse specialized in PD or in centres providing home visits before dialysis initiation had a lower risk of peritonitis [cause-specific hazard ratio (cs-HR): 0.75 (95% confidence interval, CI, 0.67-0.83) and cs-HR: 0.87 (95% CI 0.76-0.97), respectively]. The data show that neither centre type nor centre volume influenced peritonitis risk. In the competing risk analysis, centre with a nurse specialized in PD and centre with home visits had a protective effect on peritonitis [sub-distribution HR (sd-HR): 0.77 (95% CI 0.70-0.85) and sd-HR: 0.85 (95% CI 0.77-0.94), respectively]. Conclusion. There is a significant centre effect on the risk of peritonitis that can be decreased by home visits before dialysis initiation and by the presence of a nurse specialized in PD.
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Affiliation(s)
| | | | | | | | | | - Thierry Lobbedez
- Néphrologie, CHU CAEN, 14000 CAEN CEDEX 9, France.,RDPLF, 95300 Pontoise, France
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Affiliation(s)
- Sonia Guillouët
- CHU de Caen, Direction des soins, Avenue de la Côte de Nacre, 14033, Caen, France.
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Buffet A, Guillouët S, Lobbedez T, Ficheux M, Lanot A, Béchade C. Safety of Peritoneal Dialysis after Nonrenal Solid-Organ Transplantation. Perit Dial Int 2017; 38:37-43. [PMID: 29162679 DOI: 10.3747/pdi.2017.00125] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Accepted: 08/18/2017] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND End-stage renal disease is a well-known complication after solid-organ transplantation, mostly as a result of calcineurin-inhibitor therapy. Among recipients of solid-organ transplants other than kidneys, peritoneal dialysis (PD) has been considered an accessory technique as an increased risk of infectious complications has been reported. The aim of our study was to evaluate the outcome of patients with a liver, heart, or lung transplant who underwent PD for replacement therapy. METHODS This was a retrospective, monocentric study. Every adult patient starting PD between January 1, 2001, and December 31, 2016, at our center was included. The history of previous solid-organ transplantation was determined. For the statistical analysis, we considered 2 groups of patients: 1 group having a history of transplantation of an organ other than the kidney (lung, heart, liver), and 1 group that was starting dialysis without any prior history of organ transplantation. Patients who had previously undergone kidney transplantation were excluded. The events of interest were the first peritonitis episode, death, and PD failure, defined as transfer to hemodialysis. RESULTS A total of 383 patients started PD during this period, 13 of whom had a history of organ transplantation. We found no significant difference between the solid-organ transplantation patients and those without a history of transplantation in terms of the occurrence of peritonitis (HR [hazard ratio] 0.91 [0.37 - 2.22]), death (HR 0.83 [0.26 - 2.63]), and PD failure (HR 1.01 [0.32 - 3.22]). CONCLUSION Peritoneal dialysis appears to be an effective replacement therapy for patients with a previous history of solid-organ transplantation.
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Affiliation(s)
- Anne Buffet
- Néphrologie, CUMR, CHU de Caen, Caen, France
| | | | - Thierry Lobbedez
- Néphrologie, CUMR, CHU de Caen, Caen, France .,Normandie université, Unicaen, UFR de médecine, Caen, France.,RDPLF, Pontoise, France
| | | | - Antoine Lanot
- Néphrologie, CUMR, CHU de Caen, Caen, France.,Normandie université, Unicaen, UFR de médecine, Caen, France
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Affiliation(s)
- Sonia Guillouët
- CHU de Caen, Direction des soins, Avenue de la Côte de Nacre, 14033 Caen, France.
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Guillouët S. [Not Available]. Rev Infirm 2017; 66:45-46. [PMID: 28985784 DOI: 10.1016/j.revinf.2017.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- Sonia Guillouët
- CHU de Caen, Direction des soins, Avenue de la Côte de Nacre, 14033 Caen, France.
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Guillouët S, Veniez G, Verger C, Béchade C, Ficheux M, Uteza J, Lobbedez T. Estimation of the Center Effect on Early Peritoneal Dialysis Failure: A Multilevel Modelling Approach. Perit Dial Int 2016; 36:519-25. [PMID: 27044794 DOI: 10.3747/pdi.2015.00245] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Accepted: 12/29/2015] [Indexed: 11/15/2022] Open
Abstract
UNLABELLED ♦ INTRODUCTION This study was carried out to investigate the center effect on the risk of peritoneal dialysis (PD) failure within the first 6 months of therapy using a multilevel approach. ♦ METHODS This was a retrospective cohort study based on data from the French Language Peritoneal Dialysis Registry. We analyzed 5,406 incident patients starting PD between January 2008 and December 2012 in 128 PD centers. The end of the observation period was December 31, 2013. ♦ RESULTS Of the 5,406 patients, 415 stopped PD within the first 6 months. There was a significant heterogeneity between centers (variance of the random effect: 0.10). Only 3% of the variance of the event of interest was attributable to differences between centers. At the individual level, only treatment before PD (odds ratio [OR]: 1.93 for hemodialysis and OR: 2.29 for renal transplantation) and underlying nephropathy (p < 0.01) were associated with early PD failure. At the center level, only center experience was associated (OR: 0.78) with the risk of PD failure. Center effect accounted for 52% of the disparities between centers. ♦ CONCLUSION Center effect on early PD failure is significant. Center experience is associated with a lower risk of transfer to hemodialysis.
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