Özet:

Target: In Turkey, by the end of 2018, the percentage of peritonal dialytic (PD) in the entire dialytic population has decreased by 3.94% over the years. The cause of this decline is the decline in new PD patients as well as the increase in the number of patients and kidney transplants separated from PD (prevalence of 21.24%). In this study, we investigated the reasons for leaving PD in our unit between 2010-2017 years. Tools and Methods: The study was carried out backward by reviewing the files of PD patients. Patients with a short period of PD (<3 months) or who remained out of work were dismissed. The data was analyzed with SPSS 20.0. Results: We found that 224 of the 354 PD patients left the PD treatment and that 188 patients (90 women, 98 men; respectively 47.9% and 52.1%; average age: 53.8±15.2) met the inclusion criteria. Diabetes mellitus (66; 35.1 %), hypertension (60; 31.9 %), autosomal dominant polycystic kidney disease (ODPKBH) (6; 3.2 %), primary glomerulonefritis (6; 3.2 %), other and unknown causes (50; 26.6 %) were identified. The treatment period was 47,1 ± 37,0 months. The causes of withdrawal from PD therapy were, respectively, death (96; 51,1), kidney transplant (38; 20,2), peritonitis (34,18,1), ultra-filtration deficiency (12; 6,4), patient desire (2; 1,1), mechanical catheter obstruction (1; 0,5%), surgical intravenous surgery (1; 0%), herni (1; 0%), pleural evacuation (2; 1%), scrotal evacuation (1; 0%). Result: In our previous study, peritonitis resistant to treatment and death were found to be among the first two causes of departure from PD. This rate related to the kidney transplant was 4.5%. But in this study, we found that patients in PD have extended their stay periods, the rates of departure from the treatment associated with refracterial peritonitis have significantly decreased, and those associated with kidney transplant have increased.

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