@Article{Jander2010,
journal="Archives of Medical Science",
issn="1734-1922",
volume="6",
number="3",
year="2010",
title="Clinical research  Successes and pitfalls of chronic peritoneal dialysis in infants \– a Polish nationwide outcome study",
abstract=" Introduction:   Peritoneal dialysis (PD) is a preferred method of renal replacement therapy for end-stage renal disease in children. Recent advances have allowed chronic PD to be provided to children of all ages and sizes.   Material and methods:  The study was designed as a national (10 dialysis centres), multicentre retrospective analysis of the medical history of 33 children who started chronic peritoneal dialysis in their infancy between 1993 and 2005, with a follow-up period of at least 24 months.   Results:  The nutritional status of the infants was unsatisfactory. The mean SDS of body weight at the start was \–2.0, at 1 year of age \–1.7. Only 40% of infants were adequately nourished at 1 year of age. Long-term follow-up analysis showed that 12 children received a kidney transplant, 13 were still on dialysis (4 changed method) and 6 died (mortality rate in the first year of life of 9%). In 2 children we observed an improvement of renal function. We observed a relatively high (1/8.8 patient-months) peritonitis rate in the analysed children when compared to 1 : 22 patient-months in all children undergoing PD in Poland.   Conclusions:  The results of our survey have shown that the management of dialysed infants is still a challenge for the medical team and families, but long-term results of the therapy are encouraging.",
author="Jander, Anna
and Makulska, Irena
and Latoszyńska, Joanna
and Boguszewska-Bączkowska, Hanna
and Bałasz-Chmielewska, Irena
and Zagożdżon, Ilona
and Załuska-Leśniewska, Iga
and Stefaniak, Ewa
and Leszczyńska, Beata
and Zachwieja, Katarzyna
and Wierciński, Ryszard
and Kipigroch, Hanna
and Kołłątaj, Barbara
and Tkaczyk, Marcin",
pages="414--419",
doi="10.5114/aoms.2010.14265",
url="http://dx.doi.org/10.5114/aoms.2010.14265"
}