inconveniences. Hemodialysis (HD) patients have to spare four hours a day, three days a week regardless of individual schedules. In continuous ambulatory peritoneal dialysis patients, people must carry three, two-liter bags of dialysis fluid to perform day-time dialysis. This is not only inconvenient, but it also becomes increasingly burdensome because people get frailer1 as dialysis duration i...

Comparisons of technique success by peritoneal dialysis (PD) modality have typically excluded the initial 90 days of therapy. We analyzed a database of 51,469 new PD starts from 2004 to 2008 in the United States. The analysis concentrated on the initial 90 days of therapy to determine technique success and the impact of the continuous ambulatory PD (CAPD) and automated PD (APD) modalities. Over...

OBJECTIVE Renal replacement therapy (RRT) is essential for maintenance of life for those with end-stage renal disease. However, there remain many areas of uncertainty about which method of RRT should be chosen. This paper reports an economic model based on a systematic review that attempts to determine which method of dialysis, continuous ambulatory peritoneal dialysis (CAPD) or hemodialysis, a...

A simple laboratory method for culture of continuous ambulatory peritoneal dialysis (CAPD) fluids is described. Guidelines for antimicrobial therapy are discussed based on results from 18 patients studied over an 11-week period. Cephalosporins appeared to be a rational choice for therapy while awaiting laboratory results.

n a recent issue of this journal, Dr. Peter Blake and others commented on the ADEMEX (Adequacy of Peritoneal Dialysis in Mexico) study, a brilliantly planned and conducted study on the influence of increases in Kt/V on the outcome of anuric continuous ambulatory peritoneal dialysis (CAPD) patients in Mexico. This prospective, controlled study was presented at the recent meeting of the Internati...

Despite recent advances in peritoneal dialysis (PD) systems, peritonitis is a significant clinical problem in patients on PD. Risk factors for peritonitis are identifiable and modifiable and require focused intervention. During a baseline period in 1998, we observed consistent differences in peritonitis rates among patients using various PD connection systems. In January 1999, motivated by a ne...

a. Disconnect systems of continuous ambulatory peritoneal dialysis (CAPD) result in lower rates of peritonitis than “spike” systems and this older system should no longer be used (Evidence level 1). b. Twin bag systems have lower rates of peritonitis than Y-disconnect systems (Evidence level 1) and are recommended as the preferred CAPD technique. c. There is insufficient high level evidence to ...

Uremia in general and peritoneal dialysis in particular bring with them risk factors for the development of cardiovascular disease. These factors include multiple lipid abnormalities, hyperhomocysteinemia, abdominal obesity, chronic inflammation, hypoalbuminemia, oxidative stress, and AGE formation. When these are combined with conventional risk factors, one can appreciate why the incidence of ...

Many patients with diabetic nephropathy undergoing continuous ambulatory peritoneal dialysis (CAPD) use their peritoneal access to administer insulin. Compared with the subcutaneous route, intraperitoneal (IP) insulin may display more consistent absorption, produce more physiologic insulin concentrations, and be more convenient to administer. However, there are no well-controlled trials that ha...