Ten Years’ Experience with Chronic Peritoneal Dialysis at a Community Hospital

This paper describes the experience of a community hospital in the treatment of chronic renal failure with intermittent (IPD) and continuous ambulatory peritoneal dialysis (CAPD) in 61 adult patients over a 10 year period. In the earlier years of this decade, 14 patients, dialysed through temporary catheters, were transferred to hemodialysis or received a kidney transplant. Later, a long-term IPD and CAPD treatment through permanent peritoneal catheters was instituted in 25 and 22 patients respectively. Over a similar but not simultaneous follow-up period, the patient survival with CAPD was better than with IPD.

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Long-term follow-up in patients with chronic renal failure; application of the H reflex of the posterior tibial nerve

Electroencephalography and Clinical Neurophysiology ◽

10.1016/0013-4694(87)91847-5 ◽

1987 ◽

Vol 66 (5) ◽

pp. S22

Keyword(s):

Renal Failure ◽

Chronic Renal Failure ◽

Tibial Nerve ◽

H Reflex ◽

Posterior Tibial Nerve ◽

Posterior Tibial ◽

Long Term Follow Up

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Residual renal function and blood count in patients on continuous ambulatory peritoneal dialysis

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0612503j ◽

2006 ◽

Vol 134 (11-12) ◽

pp. 503-508

Author(s):

Natasa Jovanovic ◽

Mirjana Lausevic ◽

Biljana Stojimirovic

Keyword(s):

Renal Failure ◽

Renal Function ◽

Peritoneal Dialysis ◽

Chronic Renal Failure ◽

Continuous Ambulatory Peritoneal Dialysis ◽

Blood Count ◽

Residual Renal Function ◽

Co Morbidity ◽

Positive Correlations

Introduction:Most of patients with chronic renal failure are affected by normochromic, normocytic anemia caused by different etiological factors. Anemia causes a series of symptoms in chronic renal failure, which can hardly be recognized from the uremic signs. Anemia adds to morbidity and mortality rates in patients affected by advanced chronic renal failure. Blood count partially improves during the first months after starting the chronic renal replacement therapy, in correlation with the quality of depuration program, with extension of erythrocyte lifetime and with hemoconcentration due to reduction of plasma volume. Recent trials found that higher residual renal function (RRF) significantly reduced co-morbidity, the rate and duration of hospitalization and risk of treatment failure. Objective: The aim of the study was to follow blood count parameters in 32 patients on chronic continuous ambulatory peritoneal dialysis (CAPD) during the first six months of treatment, to evaluate the influence of demographic and clinical factors on blood count and RRF, and to examine the correlation between RRF and blood count parameters. Method: A total of 32 patients affected by end-stage renal disease of different major cause during the first six months of CADP treatment were studied. RRF and blood count were evaluated as well as their relationship during the follow-up. Results: Blood count significantly improved in our patients during the first six months of CAPD treatment even if Hb and HTC failed to reach normal values. Iron serum level slightly decreased because of more abundant erythropoiesis and iron utilization during the first six months of treatment. RRF slightly decreased. After six months of CAPD treatment, the patients with higher RRF had significantly higher Hb, HTC and erythrocyte number and a lot of positive correlations between RRF and anemia markers were observed. Conclusion: After 6-month follow-up period, the patients with higher RRF had significantly higher blood count parameters, and several positive correlations between RRF and blood count markers were confirmed.

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Bilateral and Simultaneous Triceps Avulsions in a Patient With Chronic Renal Failure Receiving Long-Term Peritoneal Dialysis

Orthopedics ◽

10.3928/01477447-20090624-20 ◽

2009 ◽

Vol 32 (8) ◽

pp. 603-605 ◽

Cited By ~ 4

Author(s):

Young Lae Moon ◽

Jae Won You ◽

Kyung Hwan Noh ◽

Kun Sang Song ◽

Gorthi Venkat

Keyword(s):

Renal Failure ◽

Peritoneal Dialysis ◽

Chronic Renal Failure

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Capd Viability: A Long-Term Comparison with Hemodialysis

Peritoneal Dialysis International ◽

10.1177/089686089601600301 ◽

1996 ◽

Vol 16 (3) ◽

pp. 276-287 ◽

Cited By ~ 63

Author(s):

Rosario Maiorca ◽

Giovanni C. Cancarini ◽

Roberto Zubani ◽

Corrado Camerini ◽

Luigi Manili ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Retrospective Study ◽

Patient Survival ◽

Technique Survival ◽

Transplantation Program ◽

The Difference ◽

Technique Failure ◽

Dialysis Technique

Objective To compare the long-term viability of continuous ambulatory peritoneal dialysis (CAPD) to that of hemodialysis (HD). Design Retrospective study of patients of our institution starting dialysis between January 1,1981, and December 31, 1993, and surviving for at least 2 months. Patients Five hundred and seventy-eight new patients (51.3% on CAPD and 48.6% on HD). Main Outcomes Studied Cox -adjusted assessment of patient and technique survival, and of technique success. Differences in results for two successive periods of time. Results Patient survival did not differ between CAPD and HD after adjusting for age and comorbidity, and significantly improved in the second part of the follow-up (1987 -1993). Technique failure was significantly higher on CAPD, in which it was inversely related to age. The probability of a patient continuing on the first method of dialysis (“technique success”) was significantly lower on CAPD than on HD, but the difference decreased progressively with age and disappeared in patients ≥75 years. Conclusion CAPD is as effective as HD in preserving life in uremic patients in the long-term, and gives better results in the older elderly. In adults, the lower technique success rate may not be a problem for patients with access to a good transplantation program; for others, this drawback must be weighed against the advantages of home treatment.

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Arterial Calcifications in Patients Undergoing Chronic Peritoneal Dialysis: Incidence, Progression and Regression

Peritoneal Dialysis International ◽

10.1177/089686088500500410 ◽

1985 ◽

Vol 5 (4) ◽

pp. 241-245 ◽

Cited By ~ 3

Author(s):

H. Erik Meema ◽

Dimitrios G. Oreopoulos

Keyword(s):

Diabetes Mellitus ◽

Renal Failure ◽

Peritoneal Dialysis ◽

Renal Transplantation ◽

Chronic Renal Failure ◽

End Stage Renal Disease ◽

Arterial Calcification ◽

Chronic Peritoneal Dialysis ◽

Stage Renal Disease ◽

End Stage

The authors graded radiologically detectable arterial calcification (A.C.) in 168 patients with end-stage renal disease treated with peritoneal dialysis; 41 of them had diabetes mellitus (DM). Comparison of DM and nondiabetic (ND) patients showed that during an average dialysis period of more than two years, the incidence of A.C. increased from 37% before dialysis to 45% at the last examination in the ND patients, and from 90% to 100% in DM patients. Both prevalence and progression of A.C. were significantly higher in DM patients (P < 0.001 and <0.05 respectively). Regressions of A.C., unrelated to parathyroidectomy or renal transplantation, were observed in 5 ND and 4 DM patients. This 9% incidence of regressions should encourage further investigations to detect the factors responsible because severe A.C. sometimes is associated with gangrene and other complications. Although numerous publications on radiologic changes in renal osteodystrophy include descriptions of arterial calcifications (A. C.), only a few have focused on the latter (1–4). Furthermore, none have looked at the relative proportions of diabetic (DM) and non-diabetic (ND) patients with A.C. and chronic renal failure. The main purpose of this paper is to make such a comparison.

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