[Influence of experience on the success of the treatment of chronic kidney failure by continuous ambulatory peritoneal dialysis compared with hemodialysis at a center]

Experience influence on treatment success of renal chronic failure by continuous ambulatory peritoneal dialysis comparatively to hemodialysis in center is estimated by the probability variation of still being in dialysis techniques. The retrospective study was realized in 276 dialysed patients who were taken over from 1972 to April 1989. In this population, there isn't any significant difference between the probability to stay in ambulatory peritoneal dialysis or in hemodialysis in center. But, if the study is realizing from the 4 years which followed the technique introduction in the center, the success probability at 30 months, remains the same for hemodialysis in center whether the technique has began in 1972 or 1976, whereas for continuous ambulatory peritoneal dialysis, this probability raises from 52% to 72% if it begins after 1982. Ambulatory peritoneal dialysis treated patients would be maintained more longer in their system than hemodialysis patients. Those results are explaining by prevention of the peritonitis thanks to technological progress and the early prevention of possible complications.