Significant Decreasing Incidence of Encapsulating Peritoneal Sclerosis in the Dutch Population of Peritoneal Dialysis Patients

被引:29
作者
Betjes, Michiel G. H. [1 ]
Habib, Sayed M. [1 ]
Boeschoten, Els W. [2 ]
Hemke, Aline C. [2 ]
Struijk, Dick G. [3 ]
Westerhuis, Ralph [4 ]
Abrahams, Alferso C. [5 ]
Korte, Mario R. [6 ]
机构
[1] Erasmus MC, Dept Nephrol & Transplantat, Rotterdam, Netherlands
[2] Nefrovisie, Dutch Renal Registry, Utrecht, Netherlands
[3] Acad Med Ctr, Div Nephrol, Dept Internal Med, Amsterdam, Netherlands
[4] Univ Groningen, Univ Med Ctr Groningen, Dialysis Ctr Groningen, Groningen, Netherlands
[5] Univ Med Ctr Utrecht, Dept Nephrol & Hypertens, Utrecht, Netherlands
[6] Albert Schweitzer Hosp, Div Nephrol, Dept Internal Med, Dordrecht, Netherlands
来源
PERITONEAL DIALYSIS INTERNATIONAL | 2017年 / 37卷 / 02期
关键词
Encapsulating peritoneal sclerosis; peritoneal; dialysis; registry; tamoxifen; LOWER MORTALITY; EPS; TAMOXIFEN;
D O I
10.3747/pdi.2016.00109
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The Dutch Encapsulating Peritoneal Sclerosis (EPS) Registry was started in 2009. Cases were identified by contacting all Dutch nephrologists twice yearly. The predefined criteria for EPS allowed for inclusion of patients with diagnosed and suspected EPS. Cases registered between January 2009 and January 2015 were analyzed with follow-up until September 2015. Fifty-three EPS cases were identified, of which 28.3% were post-transplantation EPS cases. Fourteen patients were initially categorized as suspected EPS, of whom 13 developed EPS. A remarkable 6-fold decrease in the yearly incidence of EPS was observed, from 0.85% in 2009 to 0.14% in 2014. This decrease could not be explained by a decrease in the number of PD patients or average duration of PD treatment in this period. Two-year survival of EPS patients was 52%. The use of tamoxifen and surgical interventions increased significantly over the years. Tamoxifen-treated cases showed a trend to better patient survival and post-transplantation EPS had a significantly favorable outcome. In conclusion, the incidence of EPS has declined significantly in the Netherlands from 2009 to 2014.
引用
收藏
页码:230 / +
页数:5
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