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Is peritoneal dialysis still an equal option? Results of the Berlin pediatric nocturnal dialysis program

Overview of attention for article published in Pediatric Nephrology, January 2015
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Title
Is peritoneal dialysis still an equal option? Results of the Berlin pediatric nocturnal dialysis program
Published in
Pediatric Nephrology, January 2015
DOI 10.1007/s00467-015-3043-4
Pubmed ID
Authors

Julia Thumfart, Tanja Hilliger, Christina Stiny, Steffen Wagner, Uwe Querfeld, Dominik Müller

Abstract

Peritoneal dialysis (PD) or conventional hemodialysis (HD) are considered to be equally efficient dialysis methods in children and adolescents. The aim of our study was to analyze whether an intensified, nocturnal HD program (NHD) is superior to PD in an adolescent cohort. Thirteen patients were prospectively enrolled in a NHD program. We measured uremia-associated parameters, parameters for nutrition, medication and blood pressure and analyzed the data. These data were compared to those of 13 PD controls, matched for gender, age and weight at the beginning the respective dialysis program and after 6 months of treatment. Serum phosphate levels decreased significantly in the NHD group and remained unchanged in the PD group. Arterial blood pressure in the NHD was significantly lower despite the reduction of antihypertensive treatment, whereas blood pressure levels remained unchanged in the PD controls. Preexisting left ventricular hypertrophy resolved and albumin levels improved with NHD. Dietary restrictions could be lifted for those on NHD, whereas they remained in place for the patients on PD treatment. Residual diuresis remained unchanged after 6 months of either NHD or PD. NHD patients experienced fewer days of hospitalization than the PD controls. Based on our results, NHD results in significantly improved parameters of uremia and nutrition. If individually and logistically possible, NHD should be the treatment modality of preference for older children and adolescents.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 40 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 3%
Unknown 39 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 18%
Student > Bachelor 7 18%
Other 4 10%
Researcher 4 10%
Student > Doctoral Student 2 5%
Other 9 23%
Unknown 7 18%
Readers by discipline Count As %
Medicine and Dentistry 22 55%
Nursing and Health Professions 4 10%
Agricultural and Biological Sciences 2 5%
Biochemistry, Genetics and Molecular Biology 2 5%
Decision Sciences 1 3%
Other 1 3%
Unknown 8 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 April 2015.
All research outputs
#20,251,039
of 22,780,165 outputs
Outputs from Pediatric Nephrology
#3,288
of 3,535 outputs
Outputs of similar age
#296,694
of 352,883 outputs
Outputs of similar age from Pediatric Nephrology
#27
of 38 outputs
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