{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T04:08:41Z","timestamp":1747282121590,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"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":["Seminars in Dialysis"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Peritoneal dialysis (PD) outcomes analysis presents challenges due to heterogeneous outcomes. Our study aims to evaluate mortality, transition to hemodialysis (HD), and kidney transplant (KT) rates and investigate potential baseline patient characteristics influencing these outcomes. We conducted an observational retrospective registry\u2010based single\u2010center cohort study involving 722 incident adult PD patients admitted between 1985 and 2022. Follow\u2010up duration extended from PD initiation to the first occurrence of death (<jats:italic>n<\/jats:italic>\u2009=\u2009143), transfer to HD (<jats:italic>n<\/jats:italic>\u2009=\u2009313), or KT (<jats:italic>n<\/jats:italic>\u2009=\u2009202). Utilizing competitive risks analysis, we calculated cumulative incidence (CI) functions and applied a Fine and Gray model to baseline variables to understand their impact. The majority of patients were female (<jats:italic>n<\/jats:italic>\u2009=\u2009401; 55.54%), with an average age of 49.64\u2009\u00b1\u200915.80\u2009years. Transfer to HD had the highest probability (CI of 0.38 at 60\u2009months), followed by KT (CI of 0.27 at 60\u2009months) and death (CI of 0.19 at 60\u2009months). Diabetes correlated solely with death (HR 1.71 (0.18); <jats:italic>p<\/jats:italic>\u2009=\u20090.004). PD\u2010first was associated with a lower risk of HD transfer (HR 0.76 (0.13); <jats:italic>p<\/jats:italic>\u2009=\u20090.036) and positively influenced KT (HR 1.73 (0.16); <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Vascular access as the reason for PD selection was associated with death (HR 2.16 (0.19); <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The main risk for PD patients is transitioning to HD, unaffected by baseline patient characteristics. PD\u2010first option positively influences KT access, and mortality rates remain low and unaffected by this option, ensuring the safety of the technique. Vascular access\u2010related PD initiations correlate with increased mortality, potentially due to comorbidities.<\/jats:p>","DOI":"10.1111\/sdi.13255","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T01:06:21Z","timestamp":1744765581000},"page":"207-213","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Insights Into Peritoneal Dialysis Outcomes: An Approach Using Competing Risks Analysis"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7755-128X","authenticated-orcid":false,"given":"Ana","family":"Cunha","sequence":"first","affiliation":[{"name":"Department of Nephrology Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio  Porto Portugal"}]},{"given":"Beatriz\u00a0Gil","family":"Braga","sequence":"additional","affiliation":[{"name":"Department of Nephrology Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio  Porto Portugal"}]},{"given":"Sofia","family":"Sousa","sequence":"additional","affiliation":[{"name":"Department of Nephrology Hospital Divino Esp\u00edrito Santo, A\u00e7ores  Ponta Delgada Portugal"}]},{"given":"Ant\u00f3nio","family":"In\u00e1cio","sequence":"additional","affiliation":[{"name":"Department of Nephrology Centro Hospitalar de Set\u00fabal  Set\u00fabal Portugal"}]},{"given":"Yulia","family":"Shilyaeva","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias da Universidade do Porto  Porto Portugal"}]},{"given":"Joana","family":"Tavares","sequence":"additional","affiliation":[{"name":"Department of Nephrology Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio  Porto Portugal"},{"name":"UMIB\u2014Unit for Multidisciplinary Research in Biomedicine, ICBAS \u2013 School of Medicine and Biomedical Sciences University of Porto  Porto Portugal"}]},{"given":"Maria\u00a0Jo\u00e3o","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Nephrology Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio  Porto Portugal"},{"name":"UMIB\u2014Unit for Multidisciplinary Research in Biomedicine, ICBAS \u2013 School of Medicine and Biomedical Sciences University of Porto  Porto Portugal"},{"name":"ITR\u2014Laboratory for Integrative and Translational Research in Population Health  Porto Portugal"}]},{"given":"Isabel","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Department of Nephrology Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio  Porto Portugal"},{"name":"UMIB\u2014Unit for Multidisciplinary Research in Biomedicine, ICBAS \u2013 School of Medicine and Biomedical Sciences University of Porto  Porto Portugal"},{"name":"ITR\u2014Laboratory for Integrative and Translational Research in Population Health  Porto Portugal"}]},{"given":"Anabela","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Department of Nephrology Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio  Porto Portugal"},{"name":"UMIB\u2014Unit for Multidisciplinary Research in Biomedicine, ICBAS \u2013 School of Medicine and Biomedical Sciences University of Porto  Porto Portugal"},{"name":"ITR\u2014Laboratory for Integrative and Translational Research in Population Health  Porto Portugal"}]},{"given":"Laetitia","family":"Teixeira","sequence":"additional","affiliation":[{"name":"ICBAS\u2014Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Universidade do Porto  Porto Portugal"},{"name":"CINTESIS \u2010 Centro de Investiga\u00e7\u00e3o em Tecnologias e Servi\u00e7os de Sa\u00fade  Porto Portugal"}]}],"member":"311","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfad281"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581\u2010022\u201000623\u20107"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.09.017"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V7102176"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2021.1918558"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010018\u201022335\u20104"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.07110711"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu131"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.017719"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6602102"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12125"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/089686080002000401"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102369\u201010\u20103"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.4061\/2011\/914849"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2010.00096"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.01050115"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfab111"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0896860820911521"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/089686080002004S02"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620\u2010023\u201001759\u2010w"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2022.03.019"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.37580"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2006.05.021"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.07920910"}],"container-title":["Seminars 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