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Risk of Mortality Post Switch from PD to HD: The INTEGRATED Group
Safe People
ERA Registry
Safe Projects
ILD19
There is not much existing information describing what happens to patients after transferring from peritoneal dialysis (PD) to in-centre haemodialysis (ICHD). In medical studies that have examined transitions from one state to another, this is often a high-risk period, and there is a suggestion that this may also be true for a switch from PD to ICHD. The INTEGRATED group is an international group strongly linked to well-established renal registries formed to examine these periods of increased risk in patients on renal replacement therapy, which will initially focus on the PD to ICHD switch. Registry data from the UK and Europe will be used to describe the risk of death during the period immediately after a PD to ICHD switch, risk factors identified, and results compared with identical analyses from registries covering Australia/New Zealand, the US, and Canada. The output from this will identify the level of increased risk after a switch from PD to ICHD, how long this increased risk lasts, and which groups of patients are at highest risk. This will be complemented by an international study of the patient experience of this period. Together, they will determine the need for (or lack of) further effort to minimise this risk. It will also inform patient information on the risk associated with switching dialysis modality during shared decision making.
11/06/2018