Long-term survival with peritoneal dialysis in ESRD due to diabetes

Several clinical studies have evaluated the factors that affect survival ra tes and compared outcomes between CAPD and HD in diabetic patients. However , only a small number of diabetic PD patients have been followed for over 5 years, largely because of coexisting, far-advanced, target organ damage at the initiation of dialysis and its progression during the course of dialys is, the presence of various comorbid conditions at the start of dialysis an d finally, the limitations of long-term PD. Among the various modes of rena l replacement, many clinicians have favored continuous ambulatory peritonea l dialysis (CA-PD) for the management of diabetic patients for several reas ons. However, survival of diabetic patients undergoing peritoneal dialysis (PD) and hemodialysis (HD) is probably similar, while diabetics on CAPD hav e a lower actuarial survival and technique success rates than non-diabetic patients of comparable age. This paper reviews the literature and our exper ience concerning the long-term survival on peritoneal dialysis of diabetic patients with ESRD.