Advances in Renal Replacement Therapy Current Technologies and Future Prospects: Original Article

Zahid Ullah khan; Rahmat Ali Khan

doi:10.69837/jnmc.v1i01.24

Authors

Zahid Ullah khan
Rahmat Ali Khan https://orcid.org/0009-0008-2400-8783

DOI:

https://doi.org/10.69837/jnmc.v1i01.24

Keywords:

Renal Replacement Therapy, Hemodialysis, Peritoneal Dialysis, Survival Rates

Abstract

Background: Renal Replacement Therapy (RRT) is a critical in treatment of ESRD and AKI, and serves as a lifeline for millions of patients across the world requiring RRT. Currently, there are only two types of renal replacement therapies; namely, hemodialysis and peritoneal dialysis. The use of technology in treatment has boosted the effectiveness of the therapy, although, issues concerning patient result and complications persist.

Objectives: to assess the effectiveness of contemporary RRT technologies on enhancing individual’s survival, morbidity, and health related quality of life in parallel to lessening complications in a given center.

Study Design: A Prospective Observational Study

Place and Duration of study. Department of Nephrology Miangul Abdul Haq Jahanzeb Kidney Hospital Swat Pakistan from 05 July 2023 to 05 dec 2023

Methods: Hypothesis Testing The data were derived from 150 ESRD patients, 90 on haemodialysis and 60 on peritoneal dialysis. Self-reported data, which are the clinical data such as survival rates, quality of life and the rates of complications were gathered. Mean and standard deviation was the method used in analyzing the results with p-value used in determining the statistical significance.

Results: In 150 patients, overall age was 54 years with 11. 2 years of standard deviation. Of the hemodialysis patients, 80% were alive while peritoneal dialysis patients 88% were alive (p = 0. 05). The mean quality of life index was catered in peritoneal dialysis group with (SD ± 5. 8) which was statistically significant as compare to HD group at p = 0. 02. Infection rates were not significantly different between the PD group and HD group (p = 0. 03).

Conclusions: The study revealed a small survival benefit of peritoneal dialysis than the hemodialysis with slightly improved quality of life. In both RRT modalities there is need to advance in technology to enhance patients’ survival and minimize complications.

Keywords: Renal Replacement Therapy, Hemodialysis, Peritoneal Dialysis, Survival Rates