{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T05:44:30Z","timestamp":1784007870195,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,15]],"date-time":"2024-12-15T00:00:00Z","timestamp":1734220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100019704","name":"Konkuk University Medical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019704","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Recent reports suggest that immediate\u2010start peritoneal dialysis (ISPD) initiated immediately after catheter insertion demonstrates better long\u2010term outcomes. However, the survival rate of ISPD versus haemodialysis (HD) remains uncertain. This study aimed to compare survival rates between ISPD and HD using a matched\u2010pair cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed the medical records of 911 patients with end\u2010stage kidney disease (ESKD) who received HD or peritoneal dialysis at our centre between August 2005 and September 2023. After 1:1 propensity score matching between ISPD and HD patients, we calculated survival rates using Kaplan\u2013Meier analysis and identified the influencing factors with multivariate Cox regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In this cohort of 911 patients, ISPD and HD groups included 162 and 676 patients respectively. After 1:1 propensity matching 140 patients on ISPD were matched with 140 patients on HD. The 1\u2010, 2\u2010, 3\u2010, 4\u2010, and 5\u2010year survival rates were 98.5%, 93.6%, 92.5%, 91.1%, and 91.1% for ISPD, and 96.3%, 93.0%, 90.4%, 87.2%, and 83.3% for HD groups (log\u2010rank <jats:italic>p<\/jats:italic>\u2009=\u20090.17). The survival rates were comparable between the groups. However, in the non\u2010diabetic population, patients on ISPD showed significantly higher survival rates than those on HD (log\u2010rank <jats:italic>p<\/jats:italic>\u2009=\u2009.03). Diabetes was an independent risk factor for mortality in the ISPD group according to multivariate Cox regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Long\u2010term survival rates were comparable between ISPD and HD groups. The survival benefit was more pronounced in the non\u2010diabetic population. These results suggest that ISPD may be a better renal replacement therapy option than HD, particularly for the non\u2010diabetic ESKD population in terms of patient survival.<\/jats:p><jats:p><jats:boxed-text content-type=\"graphic\" position=\"anchor\"><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/nep14418-gra-0001-m.png\"><jats:alt-text>image<\/jats:alt-text><\/jats:graphic><\/jats:boxed-text><\/jats:p><\/jats:sec>","DOI":"10.1111\/nep.14418","type":"journal-article","created":{"date-parts":[[2024,12,15]],"date-time":"2024-12-15T23:49:16Z","timestamp":1734306556000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of survival outcomes in haemodialysis versus immediate\u2010start peritoneal dialysis: A propensity\u2010matched study"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4438-3405","authenticated-orcid":false,"given":"Jee Young","family":"Lee","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Konkuk University Medical Center  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyunjin","family":"Cho","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Konkuk University Medical Center  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung\u2010Hwan","family":"Park","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Konkuk University Medical Center  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6695-7062","authenticated-orcid":false,"given":"Young\u2010Il","family":"Jo","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Konkuk University Medical Center  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2013.09.011"},{"key":"e_1_2_8_3_1","unstructured":"USRD System.2020 Annual Report: End Stage Renal Disease. Chapter 1. Incidence Prevalence Patient Characteristics and Treatment Modalities. 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