Associations between liver function parameters and poor clinical outcomes in peritoneal dialysis patients

Ther Apher Dial. 2023 Feb;27(1):12-18. doi: 10.1111/1744-9987.13926. Epub 2022 Sep 21.

Abstract

Patients with end-stage renal disease (ESRD) have significantly lower survival rates compared with the general population of the same age. Peritoneal dialysis (PD) is an effective treatment for patients with ESRD, but the clinical outcome of PD patients is still not promising. The survival of PD patients is associated with various clinical factors, and exploring some valid risk predictors may be beneficial for this population. In this review, by integrating the latest research, we summarized the association of some common and novel liver function parameters (ALT, AST, ALP, GGT, serum bilirubin, pre-albumin, albumin, albumin-globulin ratio [AGR], serum ferritin, and hyaluronic acid) with clinical outcomes in PD patients. It may contribute to a better understanding of potential risk factors and help to develop strategies to prevent the disease progression.

Keywords: clinical outcomes; liver function; mortality; peritoneal dialysis.

Publication types

  • Review

MeSH terms

  • Humans
  • Kidney Failure, Chronic*
  • Liver / chemistry
  • Peritoneal Dialysis* / adverse effects
  • Serum Albumin / analysis
  • Treatment Outcome

Substances

  • Serum Albumin