caa a22 4500 445883464 CHVBK 20180317145552.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s10157-011-0471-8 doi (NATIONALLICENCE)springer-10.1007/s10157-011-0471-8 Peritonitis is still an important factor for withdrawal from peritoneal dialysis therapy in the Tokai area of Japan [Elektronische Daten] [Masashi Mizuno, Yasuhiko Ito, Akio Tanaka, Yasuhiro Suzuki, Hideki Hiramatsu, Midoriko Watanabe, Yoshikazu Tsuruta, Teppei Matsuoka, Isao Ito, Hiroshi Tamai, Hirotake Kasuga, Hideaki Shimizu, Hisashi Kurata, Daijo Inaguma, Takeyuki Hiramatsu, Masanobu Horie, Tomohiko Naruse, Shoichi Maruyama, Enyu Imai, Yukio Yuzawa, Seiichi Matsuo] Background: In Japan, the population of patients on peritoneal dialysis (PD) is <4% of the total number of patients with end-stage renal disease. Few systemic analyses have examined why the number of PD patients has not increased in Japan. We organized a registry to analyze PD patients and retrospectively investigated 561 PD patients (about 5% of all Japanese PD patients) from 13 hospitals in the Tokai area for 3years from 2005. Methods: We investigated background, physical status, laboratory data, status of PD therapy, and the occurrence of PD-related complications, and analyzed reasons for withdrawal from PD. Results: Nutrition did not change significantly during our observation. Urinary volume showed continued decreases after the introduction period. In contrast, PD fluid demand and ultrafiltration volume were significantly increased. For calcium metabolism, multiple phosphate binders were required after the second year of PD therapy. Early drop-out within 3years after starting PD therapy comprised 50.9% of total withdrawals, with PD-related peritonitis as the most common reason, mainly caused by Gram-positive organisms. Incidence of peritonitis was 42.8months/patient. Culture-negative results were obtained for 32% of peritonitis cultures. Diabetes affects the prognosis of PD therapy, but not the incidence of peritonitis. Conclusion: We examined clinical status over 3years in the Tokai area. The results suggest that the incidence of peritonitis needs to be decreased to prevent early withdrawal of PD patients. Education systems to decrease the incidence of peritonitis and techniques to decrease culture-negative results might be important for improving the prognosis of peritonitis. Japanese Society of Nephrology, 2011 Complication nationallicence Peritoneal dialysis nationallicence Peritonitis nationallicence Mizuno Masashi Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Tsurumai-cho 65, Showa-ku, Nagoya, Japan aut Ito Yasuhiko Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Tsurumai-cho 65, Showa-ku, Nagoya, Japan aut Tanaka Akio Chubu Rosai Hospital, Nagoya, Japan aut Suzuki Yasuhiro Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Tsurumai-cho 65, Showa-ku, Nagoya, Japan aut Hiramatsu Hideki Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Tsurumai-cho 65, Showa-ku, Nagoya, Japan aut Watanabe Midoriko Handa City Hospital, Handa, Japan aut Tsuruta Yoshikazu Minami Seikyo Hospital, Nagoya, Japan aut Matsuoka Teppei Ogaki Kita Clinic, Ogaki, Japan aut Ito Isao Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan aut Tamai Hiroshi Anjo Kosei Hospital, Anjo, Japan aut Kasuga Hirotake Nagoya Kyoritsu Hospital, Nagoya, Japan aut Shimizu Hideaki Chubu Rosai Hospital, Nagoya, Japan aut Kurata Hisashi Toyota Kosei Hospital, Toyota, Japan aut Inaguma Daijo Tosei General Hospital, Seto, Japan aut Hiramatsu Takeyuki Konan Kosei Hospital, Konan, Japan aut Horie Masanobu Daiyukai Daiichi Hospital, Ichinomiya, Japan aut Naruse Tomohiko Kasugai Municipal Hospital, Kasugai, Japan aut Maruyama Shoichi Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan aut Imai Enyu Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan aut Yuzawa Yukio Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan aut Matsuo Seiichi Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan aut Clinical and Experimental Nephrology Springer Japan 15/5(2011-10-01), 727-737 1342-1751 15:5<727 2011 15 10157 https://doi.org/10.1007/s10157-011-0471-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10157-011-0471-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mizuno Masashi Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Tsurumai-cho 65, Showa-ku, Nagoya, Japan aut NATIONALLICENCE 700 1- Ito Yasuhiko Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Tsurumai-cho 65, Showa-ku, Nagoya, Japan aut NATIONALLICENCE 700 1- Tanaka Akio Chubu Rosai Hospital, Nagoya, Japan aut NATIONALLICENCE 700 1- Suzuki Yasuhiro Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Tsurumai-cho 65, Showa-ku, Nagoya, Japan aut NATIONALLICENCE 700 1- Hiramatsu Hideki Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Tsurumai-cho 65, Showa-ku, Nagoya, Japan aut NATIONALLICENCE 700 1- Watanabe Midoriko Handa City Hospital, Handa, Japan aut NATIONALLICENCE 700 1- Tsuruta Yoshikazu Minami Seikyo Hospital, Nagoya, Japan aut NATIONALLICENCE 700 1- Matsuoka Teppei Ogaki Kita Clinic, Ogaki, Japan aut NATIONALLICENCE 700 1- Ito Isao Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan aut NATIONALLICENCE 700 1- Tamai Hiroshi Anjo Kosei Hospital, Anjo, Japan aut NATIONALLICENCE 700 1- Kasuga Hirotake Nagoya Kyoritsu Hospital, Nagoya, Japan aut NATIONALLICENCE 700 1- Shimizu Hideaki Chubu Rosai Hospital, Nagoya, Japan aut NATIONALLICENCE 700 1- Kurata Hisashi Toyota Kosei Hospital, Toyota, Japan aut NATIONALLICENCE 700 1- Inaguma Daijo Tosei General Hospital, Seto, Japan aut NATIONALLICENCE 700 1- Hiramatsu Takeyuki Konan Kosei Hospital, Konan, Japan aut NATIONALLICENCE 700 1- Horie Masanobu Daiyukai Daiichi Hospital, Ichinomiya, Japan aut NATIONALLICENCE 700 1- Naruse Tomohiko Kasugai Municipal Hospital, Kasugai, Japan aut NATIONALLICENCE 700 1- Maruyama Shoichi Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan aut NATIONALLICENCE 700 1- Imai Enyu Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan aut NATIONALLICENCE 700 1- Yuzawa Yukio Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan aut NATIONALLICENCE 700 1- Matsuo Seiichi Department of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan aut NATIONALLICENCE 773 0- Clinical and Experimental Nephrology Springer Japan 15/5(2011-10-01), 727-737 1342-1751 15:5<727 2011 15 10157 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer