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Outcomes of a peritoneal dialysis program in remote communities within Colombia

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dc.creatorSanabria Rangel, José Mauriciospa
dc.creatorDevia, Marthaspa
dc.creatorHernández, Gilmaspa
dc.creatorAstudillo, Kindarspa
dc.creatorTrillos Peña, Carlos Enrique
dc.creatorUribe, Mauriciospa
dc.creatorLatorre Santos, Catalina
dc.creatorBernal, Astridspa
dc.creatorRivera, Angelaspa
dc.date.accessioned2020-05-25T23:58:03Z
dc.date.available2020-05-25T23:58:03Z
dc.date.created2015spa
dc.description.abstractBackground and Objective: Colombia is a country of diverse geographic regions, some with mountainous terrain that can make access to urban areas difficult for individuals who live in remote areas. In 2005, a program was initiated to establish remote peritoneal dialysis (PD) centers in Colombia to improve access to PD for patients with end-stage renal disease who face geographic or financial access barriers. ? Patients and Methods: The present study was a multicenter cohort observational study of prevalent home PD patients who were at least 18 years of age and were being managed by one of nine established remote PD centers in Colombia over a 2-year period. Data were collected from clinical records, databases, and patient interviews. Patient survival, incidence of peritonitis, and rate of withdrawal from PD therapy were assessed. ? Results: A total of 345 patients were eligible for the study. The majority (87.8%) of patients lived on one to two times a minimum monthly salary (equivalent to US$243 – US$486). On average, patients traveled 1.2 hours and 4.3 hours from their home to their remote PD center or an urban reference renal clinic, respectively. The incidence rate of peritonitis was 2.54 episodes per 100 patient-months of therapy. A bivariate analysis showed a significantly higher risk of peritonitis in patients who were living on less than one times a monthly minimum salary (p less than 0.05) or who had a dirt, cement, or unfinished wood floor (p less than 0.05). The 1-year and 2-year patient survival rates were 92.44% and 81.55%, respectively. The 1-year and 2-year technique survival rates were 97.27% and 89.78%, respectively. ? Conclusions: With the support of remote PD centers that mitigate geographic and financial barriers to healthcare, home PD therapy is a safe and appropriate treatment option for patients who live in remote areas in Colombia. © 2015 International Society for Peritoneal Dialysis.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.3747/pdi.2012.00301
dc.identifier.issn8968608
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22794
dc.language.isoengspa
dc.publisherMultimed Inc.spa
dc.relation.citationEndPage61
dc.relation.citationIssueNo. 1
dc.relation.citationStartPage52
dc.relation.citationTitlePeritoneal Dialysis International
dc.relation.citationVolumeVol. 35
dc.relation.ispartofPeritoneal Dialysis International, ISSN:8968608, Vol.35, No.1 (2015); pp. 52-61spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85000785119&doi=10.3747%2fpdi.2012.00301&partnerID=40&md5=a1cc4d1c4dff4ae2313cd149bca2d557spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordchroniceng
dc.subject.keywordhospitaleng
dc.subject.keywordcontinuous ambulatoryeng
dc.subject.keywordArticlespa
dc.subject.keywordCause of deathspa
dc.subject.keywordCohort analysisspa
dc.subject.keywordColombiaspa
dc.subject.keywordContinuous ambulatory peritoneal dialysisspa
dc.subject.keywordEconomic aspectspa
dc.subject.keywordEnd stage renal diseasespa
dc.subject.keywordFemalespa
dc.subject.keywordHealth programspa
dc.subject.keywordHousingspa
dc.subject.keywordHumanspa
dc.subject.keywordIncidencespa
dc.subject.keywordInterviewspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMorbidityspa
dc.subject.keywordObservational studyspa
dc.subject.keywordPeritoneal dialysisspa
dc.subject.keywordPeritonitisspa
dc.subject.keywordPriority journalspa
dc.subject.keywordProgram efficacyspa
dc.subject.keywordRural areaspa
dc.subject.keywordSanitationspa
dc.subject.keywordSocial statusspa
dc.subject.keywordSocioeconomicsspa
dc.subject.keywordSurvival factorspa
dc.subject.keywordTraffic and transportspa
dc.subject.keywordTreatment withdrawalspa
dc.subject.keywordAdverse effectsspa
dc.subject.keywordClinical trialspa
dc.subject.keywordConfidence intervalspa
dc.subject.keywordFollow upspa
dc.subject.keywordHemodialysisspa
dc.subject.keywordKaplan meier methodspa
dc.subject.keywordMiddle agedspa
dc.subject.keywordMortalityspa
dc.subject.keywordMulticenter studyspa
dc.subject.keywordPathophysiologyspa
dc.subject.keywordPatient transportspa
dc.subject.keywordPeritoneal dialysisspa
dc.subject.keywordPeritonitisspa
dc.subject.keywordPovertyspa
dc.subject.keywordProceduresspa
dc.subject.keywordRisk assessmentspa
dc.subject.keywordRural populationspa
dc.subject.keywordSurvival ratespa
dc.subject.keywordTreatment outcomespa
dc.subject.keywordAdultspa
dc.subject.keywordCohort studiesspa
dc.subject.keywordColombiaspa
dc.subject.keywordConfidence intervalsspa
dc.subject.keywordFemalespa
dc.subject.keywordFollow-up studiesspa
dc.subject.keywordHemodialysis unitseng
dc.subject.keywordHumansspa
dc.subject.keywordKaplan-meier estimatespa
dc.subject.keywordKidney failureeng
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordPeritoneal dialysisspa
dc.subject.keywordPeritoneal dialysiseng
dc.subject.keywordPeritonitisspa
dc.subject.keywordPovertyspa
dc.subject.keywordRisk assessmentspa
dc.subject.keywordRural populationspa
dc.subject.keywordSocioeconomic factorsspa
dc.subject.keywordSurvival ratespa
dc.subject.keywordTransportation of patientsspa
dc.subject.keywordTreatment outcomespa
dc.subject.keywordColombiaspa
dc.subject.keywordInfectionspa
dc.subject.keywordPeritoneal dialysisspa
dc.subject.keywordRemote dialysis centerspa
dc.subject.keywordSurvivalspa
dc.titleOutcomes of a peritoneal dialysis program in remote communities within Colombiaspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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