J Korean Soc Pediatr Nephrol.  2009 Oct;13(2):176-188.

Current Status of Children on Peritoneal Dialysis in Korea: A Cross-Sectional Multicenter Study

• Youn JS
• Lee JH
• Park YS
• Yim HE
• Paik KH
• Yoo KH
• Ha IS
• Cheong HI
• Choi Y

Abstract

PURPOSE: Peritoneal dialysis (PD) is the major form of dialysis in use for infants and children with end-stage renal disease (ESRD). The aim of this study was to gain insight into the current status of children on PD in Korea.
METHODS
In May 2008, questionnaires were sent to the pediatric nephrologists via e-mail. Four centers replied and those data were reviewed.
RESULTS
A total of 103 patients were included in this study. Male to female ratio was 1.6:1. Mean age was 11.5+/-4.9 years (0-19 years). Primary renal diseases diagnosed were as follows: primary glomerular disease (34%), chronic pyelonephritis-reflux nephropathy (14.6%), systemic disease (9.7%), renal hypoplasia/dysplasia (8.7%), heredofamilial disease (6.8%), vascular disease (3.9%), drug-induced nephropathy (1.0%), and unknown (12.6%). PD modalities were as follows: CAPD (42.7%), CCPD (27.2%), NIPD (11.7%), and Hybrid (18.4%). Weekly total Kt/V was 2.1+/-0.7 (0.3- 4.1). Results of peritoneal equilibrium test were as follows: low 36.8%, low average 31.6%, high average 19.7%, and high 11.8%. Z-score for weight was -1.00+/-1.20 (-4.54~+2.50). Z-score for height was -1.55+/-1.65 (-9.42~+1.87). Growth hormone was administered in 24.3% of patients. Anti-hypertensive drugs were administered in 64.0% of patients. Laboratory findings were as follows: hemoglobin 10.5+/-1.4 g/dL, calcium 9.7+/-0.7 mg/dL, phosphorus 5.4+/-1.4 mg/dL, and parathyroid hormone 324.2+/-342.8 pg/mL.
CONCLUSION
Primary glomerular disease was the most common cause of ESRD. CAPD was the most prevalent PD modality. Low and low average peritoneal transport type were common. Growth disturbance were noted in many patients. Some patients had hypertension even with anti- hypertensive drugs. Calcium-phosphorus levels were maintained adequately, but many patients had secondary hyperparathyroidism.

Keyword

End-Stage Renal Disease; Peritoneal Dialysis

MeSH Terms

Antihypertensive Agents
Calcium
Child
Chimera
Dialysis
Electronic Mail
Female
Growth Hormone
Hemoglobins
Humans
Hyperparathyroidism, Secondary
Hypertension
Infant
Kidney Failure, Chronic
Male
Parathyroid Hormone
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory
Phosphorus
Surveys and Questionnaires
Vascular Diseases
Antihypertensive Agents
Calcium
Growth Hormone
Hemoglobins
Parathyroid Hormone
Phosphorus