CAPD in Canada in 1982

1984 ◽  
Vol 4 (2) ◽  
pp. 72-74 ◽  
Author(s):  
Gerald Pose” ◽  
Eric Lam ◽  
Anita Rappaport

This study examined the role of CAPD in the treatment of end stage renal failure in Canada in 1982, using data obtained from the Canadian Renal Failure Registry. In comparison to 1981, there was an increase in the number of patients on peritoneal dialysis. As of December 31, 1982, equal proportions of patients had started on hemodialysis and peritoneal dialysis. The average patient age was slightly lower for the hemodialysis. The most common reason for discontinuing CAPD was transplantation, followed by peritonitis and other abdominal complications. Over one-half of CAPD patients had no peritonitis; most of the episodes occurred in a minority of patients. In the initial treatment of children, CAPD and hemodialysis were used with equal frequency. At two years the survival of non-diabetic patients on CAPD was similar to that of hemodialysis patients. The Canadian Renal Failure Registry, which was established in 1981, receives data from all 68 dialysis units in Canada (1–2). The Registry has two parts: the first receives data from each centre, and the second concerns data only on patients who were started on treatment after the Registry came into existence, that is, 1981. This report examines the place of CAPD in the overall management of all patients in Canada with end-stage renal failure, and the use and complications of CAPD in patients who started therapy in 1981 and 1982.

2020 ◽  
Vol 3 (1) ◽  
pp. 27-35
Author(s):  
Meryem Benbella ◽  
Aziza Guennoun ◽  
Mohamed Belrhiti ◽  
Tarik Bouattar ◽  
Rabia Bayahia ◽  
...  

Introduction:  The choice of dialysis modality has become an important decision that affects not only the country's health policy in the management of chronic end stage renal failure, but also the quality of life of patients and their survival. Peritoneal dialysis is an alternative for the treatment of these patients. The objective of our work is to report the epidemiological, clinical and biological results in the unit of PD, UHC of Rabat and to clarify the obstacles to the development of PD in Morocco.  Material and Methods:  We conducted a descriptive retrospective study in our PD unit from July 2006 to July 2017, including all patients who were in PD by choice or necessity and enrolled in the French Peritoneal Dialysis Registry (RDPLF).  Results: In 10 years, 159 patients were placed in PD, with an average age of 50.44 +/- 17.42 years and a sex ratio of 1.36. The indication for placement of setting in PD was by choice in 34% of the cases, social in 52% and medical in 14% of cases. Mechanical complications were dominated by catheter migrations. Infectious complications were represented by peritonitis, caused by poor of hygiene in 42% of cases. Conclusion: The obstacles to the development of PD are the lack of knowledge of the technique by the patients, as well as the prejudices or myths about the technique.


2020 ◽  
pp. 449-466

This chapter begins with an introduction to transplant surgery with its intriguing history and development as a specialty. The general principles of biological rejection are covered on a background of immunology and immunosuppression. Clinical transplants in children are detailed with the first and most well-established being renal transplantation . The causes of end-stage renal failure are listed with further details of preparation, the operation itself, and potential complications. Cardiac transplantation is fully discussed, including indications, contraindications, the role of mechanical support, surgery for the donor and the recipient, complications, and postoperative management. Liver transplantation is covered in detail, including listing for a transplant, choice of a suitable donor, the surgical procedure, and outcomes and complications. Finally, intestinal transplantation is covered with discussion on indications, potential complications, and outcomes.


1980 ◽  
Vol 1 (5) ◽  
pp. 54-58 ◽  
Author(s):  
Norbert H. Lameire ◽  
Marc De Paepe ◽  
Raymond Vanholder ◽  
Johan Verbanck ◽  
Severin Ringoir

This paper has reviewed experience in Belgium with 99 patients on CAPD. They represent 6-7% of all dialysis patients in this country. The principle reasons for selecting CAPD were old age, problems with vascular access and major cardiovas cular complications. Hemoglobin and hematrocrit values increased in all patients but preliminary measurements of red cell volume in some of them showed no change. Most patients showed moderate increases in serum triglycerides. In three non-diabetic patients with marked elevation in triglyceride levels, insulin, given intraperitoneally, prevented further increases. The frequency of peritonitis was still high; the average rate was one episode every 7.6 patient months. Other major complications included hypotension, which improved after the substitution of dialysate with a higher sodium concentration, severe respiratory disease and gangrene of the legs. After a mean follow-up of seven months, the death rate was 18% and the rate of technical success was 70%. The fact that most of our patients were in the high-risk category should be kept in mind when comparing these results with those obtained with other modes of treatment. At the end of 1978, a total of 1195 patients with end-stage renal disease (ESRD) were treated on either home or hospital dialysis in Belgium. There were 50 dialysis centers for a total population of 9.8 million. Of these 1195 patients, only seven were treated with either continuous ambulatory peritoneal dialysis (2-4) or intermittent peritoneal dialysis. Since then and until July 1, 1980 the number of patients treated with CAPD in Belgium has increased to 99 and this paper describes our experience with these patients.


PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0218156
Author(s):  
Kwazi Celani Zwakele Ndlovu ◽  
Perpetual Chikobvu ◽  
Thabiso Mofokeng ◽  
Verena Gounden ◽  
Alain Assounga

Sign in / Sign up

Export Citation Format

Share Document