{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:38:50Z","timestamp":1776127130007,"version":"3.50.1"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Braz. J. Nephrol."],"abstract":"<jats:p>Abstract  Background: Few studies have compared the infectious and mechanical complications seen in planned-start and urgent-start peritoneal dialysis (PD) patients.  Objectives: To compare the incidence and etiology of mechanical and infectious complications in patients offered planned- and urgent-start PD and assess potential differences in patient survival and time on PD.  Methods: This retrospective cohort study included patients with chronic kidney disease on planned- and urgent-start PD seen from 2014 to 2020 and compared them for mechanical and infectious complications, clinical outcome, death rates, and need to switch to hemodialysis.  Results: Ninety-nine patients on planned-start PD and 206 on urgent-start PD were included. Incidence of exit-site infection (18.9 vs. 17.17%, p=0.71) and peritonitis (24.27 vs. 27.27%, p=0.57) were similar between patients, while pathogens causing peritonitis were different, although non-fermenting Gram-negative bacilli were more commonly seen in the planned-start PD group. Leakage as a mechanical complication and hospitalization were more common among patients needing urgent-start PD (10.68 vs. 2.02%, p=0.0085 and 35.44 vs. 17.17%, p=0.0011, respectively). Patient survival was similar between groups. Cox regression found an association between death and age (HR=1.051, 95% CI 1.026-1.07, p=0.0001) and albumin (HR=0.66, 95% CI 0.501-0.893, p=0.0064), and between peritonitis and a diagnosis of diabetes (HR=2.016, 95% CI 1.25-3.25, p=0.004).  Conclusion: Patient survival and time on PD were similar between the planned- and urgent-start PD groups, while leakage was more frequently seen in the urgent-start PD group. Death was associated with lower albumin levels and older age, while peritonitis was associated with diabetes.<\/jats:p>","DOI":"10.1590\/2175-8239-jbn-2021-0287en","type":"journal-article","created":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T09:35:27Z","timestamp":1656927327000},"page":"27-35","source":"Crossref","is-referenced-by-count":7,"title":["Infectious and mechanical complications in planned-start vs. urgent-start peritoneal dialysis: a cohort study"],"prefix":"10.1590","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3429-5412","authenticated-orcid":false,"given":"Jo\u00e3o Victor Costa","family":"M\u00fcller","sequence":"first","affiliation":[{"name":"Universidade Estadual Paulista J\u00falio de Mesquita Filho,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6178-6938","authenticated-orcid":false,"given":"Daniela","family":"Ponce","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista J\u00falio de Mesquita Filho,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2023,3]]},"reference":[{"issue":"2","key":"ref1","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1590\/S0104-42302010000200028","article-title":"Doen\u00e7a renal cr\u00f4nica: frequente e grave, mas tamb\u00e9m preven\u00edvel e trat\u00e1vel","volume":"56","author":"Bastos MG","year":"2010","journal-title":"Rev Assoc Med Bras [Internet]"},{"issue":"26","key":"ref2","doi-asserted-by":"crossref","first-page":"137","DOI":"10.47385\/cadunifoa.v9.n26.193","article-title":"Tratamento de di\u00e1lise em pacientes com insufici\u00eancia renal cr\u00f4nica","volume":"9","author":"Machado GRG","year":"2014","journal-title":"Cad UniFOA [Internet]"},{"issue":"4","key":"ref3","first-page":"441","article-title":"Di\u00e1lise peritoneal como primeira op\u00e7\u00e3o de tratamento dial\u00edtico de in\u00edcio n\u00e3o 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