{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T21:58:09Z","timestamp":1781906289432,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ther Apher Dial"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the efficacy and safety of urgent, unplanned peritoneal dialysis (PD) compared to hemodialysis (HD) in patients with end\u2010stage renal disease (ESRD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective cohort quasi\u2010experimental study enrolled 60 ESRD patients requiring urgent, unplanned dialysis. Participants were randomly assigned to automated peritoneal dialysis (APD) or daily dialysis (HD) at a tertiary hospital from May 2021 to June 2023. The primary outcome was patient survival. Secondary outcomes included infection rates, bacteremia, mechanical complications, catheter loss, cost, and hospitalization. All patients were followed for 3\u2009months. Baseline characteristics were similar between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 60 patients who started urgent unplanned dialysis, 5 (8.3%) died during the treatment and follow\u2010up period. There was no significant difference in the mortality rate between PD patients (6.7%) versus HD patients (10.0%). Overall infection rates were higher in the HD group (40.0%) compared to the PD group (6.7%) (<jats:italic>p<\/jats:italic>\u2009=\u20090.014). HD patients had a significantly higher incidence of bacteremia in the follow\u2010up period compared to PD patients (20.0% versus 10.0%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). HD patients also had longer hospitalization stays (13.6\u2009\u00b1\u20094.1\u2009days) compared to PD patients (6.2\u2009\u00b1\u20093.3\u2009days, <jats:italic>p<\/jats:italic> 0.014). Additionally, the overall cost of dialysis was significantly higher for HD patients compared to PD patients (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Urgent, unplanned PD was as effective as HD in treating ESRD patients. PD was associated with lower infection rates, shorter hospital stays, and reduced costs, making it a safe, viable, and cost\u2010effective option for urgent dialysis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1744-9987.70007","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T06:23:37Z","timestamp":1742279017000},"page":"437-446","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Urgent unplanned peritoneal dialysis versus hemodialysis in end\u2010stage renal disease: Costs and outcomes"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5494-1963","authenticated-orcid":false,"given":"Abdullah","family":"Alhwiesh","sequence":"first","affiliation":[{"name":"Nephrology Division, Department of Internal Medicine King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University  Al\u2010Khobar Saudi 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