Comparative evolution of hemodialysis vs. peritoneal dialysis in elderly.

UNLABELLED: The prevalence of treated patients with end-stage renal disease (ESRD) has considerably increased in the last decade mainly in the elderly age groups. The type of optimal mode of dialysis therapy in elderly is difficult to establish and most studies comparing hemodialysis and peritoneal dialysis in elderly failed to demonstrate the superiority of one therapy versus the other. The present article uses Charlson Co morbidity Index to compare evolution of an elderly population in HD versus PD. MATERIAL AND METHODS: Nondiabetic patients (> 65 years) who initiated dialysis therapy for ESRD during January 2006-December 2007. RESULTS: In HD group, the median CCI calculated 6 month before initiating dialysis therapy was 5.87, with limits between 3 and 11. At the time of initiating dialysis, the median CCI was 6.55 (limits 3-11). In peritoneal dialysis group, CCI evaluated 6 months before initiating dialysis had a median value of 7.38, with limits between 3 and 11. At the time of initiating dialysis procedure, the median CCI was 7.72. CONCLUSIONS: This study demonstrates that PD is, in the majority of situations, a better option for dialysis in elderly.

[Acute-on-chronic renal disease caused by pancreatitis--impact of renal replacement therapy]. / Boala cronica renal acutizata prin pancreatiti--efectele terapiei prin renali supleere renala.

Acute pancreatitis is often complicated by acute renal failure, either isolated or part of multiple organ failure. Preexisting chronic kidney disease worsens the prognosis, especially when the pancreatitis is severe and/or other major comorbidities are present. In case of acute-on-chronic renal failure secondary to acute pancreatitis, an early application of renal replacement therapy has improved the prognosis of patients included in the present clinical study.