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. 2021 Jan 27;2021(1):CD012899. doi: 10.1002/14651858.CD012899.pub2

Lobbedez 2008.

Study characteristics
Methods

  • Country: France

  • Type of study: observational, single centre

  • Design: cohort study (prospective)

  • Time frame: 1 January 2004 and 31 December 2006

  • Duration of follow‐up: until 31 December 2006
Participants

  • All unplanned dialysis patients who initiated dialysis after 1st January 2004. The decision for the type of dialysis was made according to the patient’s choice

  • Number: (treatment group (34); control group (26)

  • Mean age ± SD (years): treatment group (65 ± 2); control group (64 ± 18)

  • Sex (males): treatment group (19/34, 56%); control group (17/26, 65%)

  • DM: treatment group (5/34, 15%); control group (5/26,19%)

  • Charlson’s comorbidity Index: treatment group (5.9 ± 2.4); control group (7.2 ± 3.1)
Interventions Treatment group

  • Acute automated PD was initiated the day after PD catheter insertion in order to reduce the time on the temporary vascular catheter. Low intra‐peritoneal volume and intermittent PD were used during the first week of PD


Control group

  • HD
Outcomes

  • Peritonitis‐free survival

  • Patient survival

  • Hospitalisation‐free survival
Notes

  • Unplanned HD patients had a greater modified Charlson’s comorbidity index (5.9 ± 2.4 versus 4.4 ± 1.9, P < 0.05)

  • The authors contacted primary investigators for additional data
Risk of bias
Bias Authors' judgement Support for judgement
Selection: representativeness of exposed cohort Low risk CKD patients who were unplanned for dialysis
Selection: non exposed cohort Low risk Drawn from same community
Selection: ascertainment of exposure Low risk Extract data from medical records
Selection: demonstration that outcome of interest was not present at the start of the study Low risk Outcome of interest was not present at the start of the study
Comparability of cohorts on basis of design or analysis Low risk Potential cofounder adjusted for survival was initial modified Charlson's comorbidity index
Outcome: assessment Low risk Record linkage
Outcome: follow‐up length Low risk Adequate follow‐up period
Outcome: adequacy of follow‐up Unclear risk Insufficient data to permit judgement