Incremental peritoneal dialysis: Clinical outcomes and residual kidney function preservation
Introduction: Initiation of peritoneal dialysis (PD) with 3 exchanges has become common practice in recent years, despite the lack of published clinical data. Objective: To describe experience with incremental peritoneal dialysis (IPD) at a single site. Material and methods: A total of 46 IPD patien...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2016-05-01
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| Series: | Nefrología (English Edition) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2013251416300530 |
| _version_ | 1828775607177052160 |
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| author | Mercè Borràs Sans Andrea Chacón Camacho Carla Cerdá Vilaplana Ana Usón Nuño Elvira Fernández |
| author_facet | Mercè Borràs Sans Andrea Chacón Camacho Carla Cerdá Vilaplana Ana Usón Nuño Elvira Fernández |
| author_sort | Mercè Borràs Sans |
| collection | DOAJ |
| description | Introduction: Initiation of peritoneal dialysis (PD) with 3 exchanges has become common practice in recent years, despite the lack of published clinical data.
Objective: To describe experience with incremental peritoneal dialysis (IPD) at a single site.
Material and methods: A total of 46 IPD patients undergoing 2-year clinical, laboratory, treatment and progression follow-up.
Results: To 25% of patients were transplanted on IPD. Mean time on IPD before transfer to conventional PD of 24 months, half of the patients because of fluid balance. Good clinical and biochemical results with a peritonitis rate of one episode per 99 months. There was an improvement in the loss of residual kidney function compared to the pre-dialysis period (−7.06 vs. −1.58 ml/min/year; P = .0001).
Conclusions: IPD with 3 peritoneal exchanges offers good results. Most patients remain stable during the first 2 years and there is an improvement in the loss of residual kidney function compared to the pre-dialysis period. |
| first_indexed | 2024-12-11T15:43:28Z |
| format | Article |
| id | doaj.art-5e724c03518a4c8197e5f0e822c70cdb |
| institution | Directory Open Access Journal |
| issn | 2013-2514 |
| language | English |
| last_indexed | 2024-12-11T15:43:28Z |
| publishDate | 2016-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Nefrología (English Edition) |
| spelling | doaj.art-5e724c03518a4c8197e5f0e822c70cdb2022-12-22T00:59:45ZengElsevierNefrología (English Edition)2013-25142016-05-0136329930310.1016/j.nefroe.2016.06.011Incremental peritoneal dialysis: Clinical outcomes and residual kidney function preservationMercè Borràs SansAndrea Chacón CamachoCarla Cerdá VilaplanaAna Usón NuñoElvira FernándezIntroduction: Initiation of peritoneal dialysis (PD) with 3 exchanges has become common practice in recent years, despite the lack of published clinical data. Objective: To describe experience with incremental peritoneal dialysis (IPD) at a single site. Material and methods: A total of 46 IPD patients undergoing 2-year clinical, laboratory, treatment and progression follow-up. Results: To 25% of patients were transplanted on IPD. Mean time on IPD before transfer to conventional PD of 24 months, half of the patients because of fluid balance. Good clinical and biochemical results with a peritonitis rate of one episode per 99 months. There was an improvement in the loss of residual kidney function compared to the pre-dialysis period (−7.06 vs. −1.58 ml/min/year; P = .0001). Conclusions: IPD with 3 peritoneal exchanges offers good results. Most patients remain stable during the first 2 years and there is an improvement in the loss of residual kidney function compared to the pre-dialysis period.http://www.sciencedirect.com/science/article/pii/S2013251416300530Incremental peritoneal dialysisResidual kidney functionInitiation of dialysis |
| spellingShingle | Mercè Borràs Sans Andrea Chacón Camacho Carla Cerdá Vilaplana Ana Usón Nuño Elvira Fernández Incremental peritoneal dialysis: Clinical outcomes and residual kidney function preservation Nefrología (English Edition) Incremental peritoneal dialysis Residual kidney function Initiation of dialysis |
| title | Incremental peritoneal dialysis: Clinical outcomes and residual kidney function preservation |
| title_full | Incremental peritoneal dialysis: Clinical outcomes and residual kidney function preservation |
| title_fullStr | Incremental peritoneal dialysis: Clinical outcomes and residual kidney function preservation |
| title_full_unstemmed | Incremental peritoneal dialysis: Clinical outcomes and residual kidney function preservation |
| title_short | Incremental peritoneal dialysis: Clinical outcomes and residual kidney function preservation |
| title_sort | incremental peritoneal dialysis clinical outcomes and residual kidney function preservation |
| topic | Incremental peritoneal dialysis Residual kidney function Initiation of dialysis |
| url | http://www.sciencedirect.com/science/article/pii/S2013251416300530 |
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