{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T12:10:44Z","timestamp":1780056644069,"version":"3.54.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,7,1]],"date-time":"2018-07-01T00:00:00Z","timestamp":1530403200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Peritoneal dialysis (PD) is an effective renal replacement technique. However, every year a considerable number of patients are transferred to hemodialysis (HD). Our aim was to identify those at risk, in order to place an arteriovenous fistula (AVF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Case-control study enrolling all prevalent patients in 2014 and 2015 in our clinic. Groups: 72 case patients who were transferred definitively to HD, 111 control patients (remaining on PD, transplanted, recovered renal function, or deceased).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 183 patients were eligible, with a mean age of 55.2 \u00b1 14.8 years, 56.3% male, 31.1% diabetic, and 49.7% on continuous ambulatory PD. The mean follow-up time was 42.1 \u00b1 25.6 months. Eighty-five patients had an AVF. The groups differed in diabetic nephropathy etiology, and in some PD-related characteristics (Kt\/V, creatinine clearance, residual renal function, mean ultrafiltration, natriuretic peptide, peritonitis, hospitalizations, and hypervolemia). In multivariate analysis, Kt\/V &lt; 1.7 (odds ratio [OR] 3.00, 95% confidence interval [CI]: 1.20 \u2013 7.50], albumin &lt; 35 g\/L (OR 4.03, 95% CI: 1.26 \u2013 12.92), number of hospitalizations 1 to 3 (OR 2.74, 95% CI: 1.15 \u2013 6.53) and 4 or more (OR 10.48, 95% CI: 3.62 \u2013 30.36), and 2 or more peritonitis episodes (OR 2.50, 95% CI: 1.03 \u2013 6.07) were predictors of PD transfer to HD. In those patients who were transferred to HD, 34 initiated HD by AVF, 2 needed a catheter due to a non-functioning AVF, and 36 did not have an AVF needing catheter placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Low Kt\/V, low albumin, higher number of hospitalizations, and peritonitis were factors associated with PD transfer to HD, probably indicative of a high-risk PD population where arteriovenous access should be weighed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3747\/pdi.2017.00180","type":"journal-article","created":{"date-parts":[[2018,6,6]],"date-time":"2018-06-06T12:10:10Z","timestamp":1528287010000},"page":"271-277","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Planning Vascular Access in Peritoneal Dialysis\u2014Defining High-Risk Patients"],"prefix":"10.1177","volume":"38","author":[{"given":"Hugo","family":"Ferreira","sequence":"first","affiliation":[{"name":"Nephrology Department, Centro Hospitalar de S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Nunes","sequence":"additional","affiliation":[{"name":"Nephrology Department, Centro Hospitalar de S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Nephrology Department, Centro Hospitalar de S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Beco","sequence":"additional","affiliation":[{"name":"Nephrology Department, Centro Hospitalar de S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joana","family":"Santos","sequence":"additional","affiliation":[{"name":"Nephrology Department, Centro Hospitalar de S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Pestana","sequence":"additional","affiliation":[{"name":"Nephrology Department, Centro Hospitalar de S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, Porto, Portugal"},{"name":"Nephrology and Infectious Diseases Research and Development Group, INEB-(I3S), Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,7,1]]},"reference":[{"key":"bibr1-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1038\/nrneph.2016.181"},{"key":"bibr2-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.4061\/2011\/434608"},{"key":"bibr3-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2011.00134"},{"key":"bibr4-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2004.02.012"},{"key":"bibr5-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1177\/089686080802800607"},{"key":"bibr6-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2012.00248"},{"key":"bibr7-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(93)90951-C"},{"issue":"2","key":"bibr8-pdi.2017.00180","first-page":"ii88","volume":"22","author":"Tordoir J.","year":"2007","journal-title":"Nephrol Dial Transplant"},{"issue":"13","key":"bibr9-pdi.2017.00180","first-page":"S297","volume":"10","author":"Ethier J.H.","year":"1999","journal-title":"J Am Soc Nephrol"},{"key":"bibr10-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.08.042"},{"key":"bibr11-pdi.2017.00180","unstructured":"ISPD Guidelines. International Society for Peritoneal Dialysis. [Online.] Available from: https:\/\/ispd.org\/ispd-guidelines\/ Accessed 7 May 2017."},{"issue":"1","key":"bibr12-pdi.2017.00180","first-page":"S2","volume":"48","author":"Hemodialysis Adequacy 2006 Work Group.","year":"2006","journal-title":"Am J Kidney Dis"},{"key":"bibr13-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1177\/089686080802800606"},{"key":"bibr14-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2013.00030"},{"key":"bibr15-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2008.00277"},{"key":"bibr16-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2369-10-3"},{"issue":"2","key":"bibr17-pdi.2017.00180","first-page":"S175","volume":"23","author":"Kawaguchi Y.","year":"2003","journal-title":"Perit Dial Int"},{"key":"bibr18-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.04970516"},{"key":"bibr19-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2015.68"},{"key":"bibr20-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2003.08801.x"},{"key":"bibr21-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2010.00096"},{"key":"bibr22-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/17.9.1655"},{"key":"bibr23-pdi.2017.00180","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1797.2012.01658.x"}],"container-title":["Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3747\/pdi.2017.00180","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.3747\/pdi.2017.00180","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3747\/pdi.2017.00180","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:24:45Z","timestamp":1777613085000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.3747\/pdi.2017.00180"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.3747\/pdi.2017.00180"],"URL":"https:\/\/doi.org\/10.3747\/pdi.2017.00180","relation":{},"ISSN":["0896-8608","1718-4304"],"issn-type":[{"value":"0896-8608","type":"print"},{"value":"1718-4304","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7]]}}}