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Adherence of pediatric patients to automated peritoneal dialysis

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Abstract

Little information is available on adherence to a home automated peritoneal dialysis (APD) prescription for children with end-stage renal disease. We have therefore retrospectively reviewed HomeChoice PRO Card data from patients <21 years of age who received home APD. Adherence was characterized as occurring ≥95%, 90–94%, or <90% of time by dividing the frequency of each of four measured prescription variables (sessions/month, duration of each session, number of cycles/session, volume of dialysate/session) by the prescribed frequency and multiplying by 100. The relationship between treatment adherence and patient age, gender, race and if the patient had received training, respectively, was assessed. Of the 51 patients (57% male), with a mean age at peritoneal dialysis (PD) onset of 11.8 ± 5.3 years, 28 (55%) were adherent for all variables. No difference in mean age or if patients were trained existed between the two groups. Males were more likely to be non-adherent (p = 0.026) as were African Americans (p = 0.048). The majority of patients were adherent to duration (96%) and number of cycles (92%), whereas non-adherence was more common with number of sessions (82%) and dialysate volume (78%). In conclusion, 45% of the pediatric patients in our study cohort exhibited some non-adherence to their prescribed APD regimen, emphasizing the value of closely monitoring the performance of home dialysis in children.

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Acknowledgments

The authors thank Helen Takaki RN and Cathy Knight RN, peritoneal dialysis nurses at Texas Children’s Hospital and Children’s Mercy Hospitals and Clinics, respectively, for their assistance with data collection.

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Authors and Affiliations

  1. Department of Pediatrics, Renal Division, Texas Children’s Hospital, Baylor College of Medicine, 1102 Bates Street, Suite 260, Houston, TX, 77030, USA

    Annabelle N. Chua

  2. Section of Pediatric Nephrology, Department of Pediatrics, Children’s Mercy Hospitals and Clinics, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA

    Bradley A. Warady

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  1. Annabelle N. Chua
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  2. Bradley A. Warady
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Correspondence to Annabelle N. Chua.

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Chua, A.N., Warady, B.A. Adherence of pediatric patients to automated peritoneal dialysis. Pediatr Nephrol 26, 789–793 (2011). https://doi.org/10.1007/s00467-011-1792-2

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  • DOI: https://doi.org/10.1007/s00467-011-1792-2

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