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Clinical Study

Clinical outcomes, quality of life, and costs evaluation of peritoneal dialysis management models in Shanghai Songjiang District: a multi-center and prospective cohort study

, , , , , , , , , , , , , , , , & show all
Pages 754-765 | Received 29 Dec 2020, Accepted 10 Apr 2021, Published online: 29 Apr 2021

Figures & data

Table 1. Baseline characteristics of two PD management models.

Table 2. Outcomes of PD patients under different management models.

Figure 1. Patient and technique survival in PD patients under two management models. (A) Patient survival. (B) Technique survival. PD: peritoneal dialysis; FCH: Family-Community-Hospital.

Figure 1. Patient and technique survival in PD patients under two management models. (A) Patient survival. (B) Technique survival. PD: peritoneal dialysis; FCH: Family-Community-Hospital.

Figure 2. Renal and peritoneal functions in PD patients under two management models. (A) Serum creatinine. (B) Blood urea nitrogen. (C) Total Kt/V. (D) Peritoneal Kt/V. PD: peritoneal dialysis; FCH: Family-Community-Hospital; Kt/V: the clearance rate of urea nitrogen.

Figure 2. Renal and peritoneal functions in PD patients under two management models. (A) Serum creatinine. (B) Blood urea nitrogen. (C) Total Kt/V. (D) Peritoneal Kt/V. PD: peritoneal dialysis; FCH: Family-Community-Hospital; Kt/V: the clearance rate of urea nitrogen.

Figure 3. Serum protein and lipid levels in PD patients under two management models. (A) Hemoglobin. (B) Serum albumin. (C) Total cholesterol. (D) Triglyceride. PD: peritoneal dialysis; FCH: Family-Community-Hospital.

Figure 3. Serum protein and lipid levels in PD patients under two management models. (A) Hemoglobin. (B) Serum albumin. (C) Total cholesterol. (D) Triglyceride. PD: peritoneal dialysis; FCH: Family-Community-Hospital.

Figure 4. Serum calcium and phosphorus levels in PD patients under two management models. (A) PTH. (B) Serum calcium. (C) Serum phosphorus. PD: peritoneal dialysis; PTH: parathyroid hormone. FCH: Family-Community-Hospital.

Figure 4. Serum calcium and phosphorus levels in PD patients under two management models. (A) PTH. (B) Serum calcium. (C) Serum phosphorus. PD: peritoneal dialysis; PTH: parathyroid hormone. FCH: Family-Community-Hospital.

Table 3. The score of health survey in two PD management models.

Figure 5. The annual medical visits and costs of two management models. (A) Hospitalization frequency. (B) Outpatient visits. (C) Total medical costs. (D) Hospitalization costs. (E) Outpatient costs. (F) Transport costs. Hospitalization costs and visits only refer to PD related admissions in central hospital. Community do not have PD inpatient ward. Outpatient costs and visits refer to both community clinic and central hospital clinic. Transport costs refer to the costs only payed for commuting to central hospital. PD: peritoneal dialysis; FCH: Family-Community-Hospital; CNY: China Yuan. One dollar was equal to 6.7606 CNY (5 year average exchange rate, from 2016 to 2020).

Figure 5. The annual medical visits and costs of two management models. (A) Hospitalization frequency. (B) Outpatient visits. (C) Total medical costs. (D) Hospitalization costs. (E) Outpatient costs. (F) Transport costs. Hospitalization costs and visits only refer to PD related admissions in central hospital. Community do not have PD inpatient ward. Outpatient costs and visits refer to both community clinic and central hospital clinic. Transport costs refer to the costs only payed for commuting to central hospital. PD: peritoneal dialysis; FCH: Family-Community-Hospital; CNY: China Yuan. One dollar was equal to 6.7606 CNY (5 year average exchange rate, from 2016 to 2020).

Table 4. The annual expenses of two PD management models.

Supplemental material

Supplemental Material

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Data availability statement

The data sets generated and analyzed during the current study are available from the corresponding author upon reasonable request.