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Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Although some risk factors for peritoneal dialysis (PD) discontinuation have been reported, those from the view point of nursing staff have been little investigated to date. So, we intended to investigate the impact of the degree of nursing care requirement and the risk of falling assessed at PD start on subsequent PD discontinuation.
We retrospectively analyzed 124 patients who started PD between January 1, 2010 and December 31, 2024. The degree of nursing care requirement was scored in terms of the need for assistance with transfer, eating, and dressing and each score (0-2) was summed (total score was 0-6). A higher score indicates a greater level of dependency on assistance. Baseline demographic (age, sex, etiology of end-stage kidney disease, episode of heart failure, and malignancy) and clinical data (BMI, blood pressure, eGFR, albumin, hemoglobin, and potassium) were obtained just before PD initiation. Univariate and multivariate Cox regression model were adopted to determine the risk factors for PD discontinuation.
Median age was 70 and 72% was male. Diabetic nephropathy (DN) accounted for 36% of the etiology of end-stage kidney disease. A total of 94 patients discontinued PD during the observation period of 4543 patient･months. The reasons for discontinuation were death (n=11), transfer to hemodialysis for various reasons (PD associated infection, n=29; volume overload, n=27; solute retention, n=5; and others, n=22). Univariate analysis showed the degree of nursing care requirement (HR, 1.193; 95%CI, 1.011-1.407; P 0.036) and etiology other than DN (HR, 0.590; 95%CI, 0.391-0.891; P 0.012) were significantly associated with PD discontinuation. On multivariate analysis, the degree of nursing care requirement remained significant (HR, 1.228; 95%CI, 1.037-1.453; P 0.017) after the adjustment for age, sex, etiology, BMI, and eGFR.
The result may suggest that intervention from a nursing perspective, especially maintenance of ADLs prior to the introduction of dialysis, is important for long-term continuation of peritoneal dialysis.
