Causes and risk factors for peritoneal dialysis withdrawal.

Abstract

This study intends to investigate the causes and risk factors for withdrawal from peritoneal dialysis (PD) in patients with end stage renal disease (ESRD). Two hundred ninety-three patients admitted to the peritoneal dialysis center in nephrology department for PD treatment were divided into 175 cases in group A (continuous treatment group) and 118 cases in group B (withdrawal group). The proportion of patients in group B whose primary disease was glomerulonephritis was significantly lower than that in group A (p <0.05), whereas the proportion of patients with diabetic nephropathy was significantly higher in group B than in group A (p <0.05). Group A received better emotional support and care services from family members than group B. Family care was mostly severely impaired in patients who died and were lost to follow-up. Diabetes mellitus, level of knowledge regarding PD, depression, and family care are risk factors for withdrawal from PD.