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We sought to understand the associations between patient\u2010reported appetite and clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the Thailand Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS), 690 of 848 randomly selected PD patients from 22 facilities reported their appetite by using the short form (three items) of the Appetite and Diet Assessment Tool (ADAT), between 2016 and 2018. In this questionnaire, the patients rated their appetite as well as a change in appetite over time. Cox proportional hazards model regression was used to estimating associations between self\u2010reported appetite and clinical outcomes, including mortality, haemodialysis (HD) transfer and peritonitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Half of the PD patients reported a good appetite, whereas 34% and 16% reported fair and poor appetites, respectively. Poor appetite was more prevalent among female, diabetic, congestive heart failure, older age and patients who had worse nutritional indicators, including lower time\u2010averaged serum albumin and serum creatinine concentrations, as well as a higher proportions of hypokalaemia and severe hypoalbuminemia (serum albumin &lt;3 g\/dl). After adjusting for age, sex, comorbidities, and PD vintage, poor appetite was associated with increased risks of peritonitis (adjusted hazard ratio [HR] 1.73, 95% confidence interval [CI] 1.14\u20132.62), HD transfer (adjusted HR 2.25, 95% CI 1.24\u20134.10) and all\u2010cause mortality (adjusted HR 1.60, 95% CI 1.08\u20132.39) compared to patients with good appetite.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patient\u2010reported poor appetite was independently associated with higher risks of peritonitis, HD transfer and all\u2010cause mortality. This warrants further investigation to identify effective interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nep.13859","type":"journal-article","created":{"date-parts":[[2021,2,7]],"date-time":"2021-02-07T11:24:18Z","timestamp":1612697058000},"page":"454-462","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Association between self\u2010reported appetite and clinical outcomes of peritoneal dialysis patients: Findings from a low middle\u2010income country"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7385-2675","authenticated-orcid":false,"given":"Chanchana","family":"Boonyakrai","sequence":"first","affiliation":[{"name":"Department of Medicine, Taksin Hospital Bangkok Metropolitan Administration  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talerngsak","family":"Kanjanabuch","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine Chulalongkorn University  Bangkok Thailand"},{"name":"Center of Excellence in Kidney Metabolic Disorders, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"},{"name":"Peritoneal Dialysis Excellent Center King Chulalongkorn Memorial Hospital  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0633-5015","authenticated-orcid":false,"given":"Pongpratch","family":"Puapatanakul","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine Chulalongkorn University  Bangkok Thailand"},{"name":"Peritoneal Dialysis Excellent Center King Chulalongkorn Memorial Hospital  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guttiga","family":"Halue","sequence":"additional","affiliation":[{"name":"Department of Medicine Phayao Hospital  Phayao Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Nephrology University of Queensland at Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pichet","family":"Lorvinitnun","sequence":"additional","affiliation":[{"name":"Department of Medicine Sunpasitthiprasong Hospital  Ubon Ratchathani Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kittisak","family":"Tangjittrong","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Pranangklao Hospital  Nonthaburi Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2703-5006","authenticated-orcid":false,"given":"Piyawan","family":"Kittiskulnam","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krit","family":"Pongpirul","sequence":"additional","affiliation":[{"name":"Department of Preventive and Social Medicine, Faculty of Medicine Chulalongkorn University  Bangkok Thailand"},{"name":"Department of International Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Department of Health, Behavior and Society Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Bieber","sequence":"additional","affiliation":[{"name":"Arbor Research Collaborative for Health  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kriang","family":"Tungsanga","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine Chulalongkorn University  Bangkok 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