scholarly journals Long-term clinical effects of treatment by daytime ambulatory peritoneal dialysis with an individualized dialysis dose mode are comparable to traditional dialysis methods (hemodialysis or continuous ambulatory peritoneal dialysis) for end-stage renal failure

2014 ◽  
Vol 8 (1) ◽  
pp. 67-73
Author(s):  
Zhang Zhi-yong ◽  
Li Ming-xu ◽  
Yu Yong-wu ◽  
Zhou Chun-hua

Abstract Background: At present, patients with end-stage renal failure (ESRD) face the question of how to achieve adequate dialysis to maintain their survival with the best quality of life as long as possible. Therefore, the choice of suitable dialysis methods and dialysis dose is important. Objective: To find suitable dialysis methods and an appropriate dialysis dose for patients with ESRD. Methods: Our research compares the long-term clinical effects between the patients undergoing continuous ambulatory peritoneal dialysis (CAPD), daytime ambulatory peritoneal dialysis (DAPD), and hemodialysis (HD). Thirty-two patients subjected to peritoneal dialysis were selected and divided into group A (n = 16) and group B (n = 16), group A was treated by using the traditional CAPD pattern; group B was treated by using DAPD. Forty-six patients of renal failure at final stage were divided into group A (n = 23) and group B (n = 23), group A was treated by using a HD method, group B was treated by using a DAPD method. Results: When the same dialysis dose was applied, the patients with long-term DAPD treatment can obtain satisfactory clinical therapeutic efficacy for the period of maintenance dialysis, thoroughness of dialysis, maintenance of nutritional status, blood pressure regulation, reduction in incidence rate of peritoneal infection, maintenance of relatively high activity in daily life and alleviation in depression, comparable to patients treated with traditional CAPD or HD methods. Conclusion: The long-term clinical effects of DAPD are comparable to CAPD or HD.

1984 ◽  
Vol 4 (4) ◽  
pp. 240-243 ◽  
Author(s):  
Ram Gokal ◽  
Frank P. Marsh

Forty -one adult renal units undertaking continuous ambulatory peritoneal dialysis (CAPD) in the United Kingdom answered a questionnaire about available facilities and their own practices. The responses suggest that many units are struggling with unsatisfactory environmental facilities and inadequate staff. Working methods, diagnostic facilities and therapeutic policies varied considerably from unit to unit. We need more information about the influence of such variables on the results of CAPD and its complications, particularly peritonitis. The use of CAPO for the management of end-stage renal failure in the United Kingdom has increased dramatically since its introduction in 1978 (I, 2). Although statistics from the European Dialysis and Transplant Association (EDT A) revealed a high technique failure rate and considerable morbidity from catheter and peritonitis problems (2, 3), individual units have reported better results (4, 5, 6). Discussion with nephrologists in the United Kingdom suggested that there were marked differences between renal units in the techniques used and the facilities available for the practice of CAPD, and that these might be reflected in the results of treatment. Therefore, we circulated a questionnaire to the 59 dialysis units in the United Kingdom requesting information concerning their facilities, practices, and the ways in which they diagnosed and managed CAPD-related infection in 1982. Replies were received from 52 units; of these six were not using CAPD and five others were pediatric centres. The questionnaires from the remaining 41 adult renal units were analysed for this report.


1994 ◽  
Vol 17 (9) ◽  
pp. 488-491 ◽  
Author(s):  
T.S. Ing ◽  
A.W. Yu ◽  
B. Agrawal ◽  
P.K. Tiwari ◽  
A.P. McShane ◽  
...  

Continuous ambulatory peritoneal dialysis was successfully carried out in 6 end-stage renal failure patients using self-made, ultrafiltration-sterilized dialysis solutions. A Y-set was used to deliver the above solutions to sterile plastic bags.


2003 ◽  
Vol 46 (2) ◽  
pp. 77-78 ◽  
Author(s):  
Ali Borazan ◽  
Hasan Üstün ◽  
Muharrem Akkaş ◽  
Oğuz Özbay ◽  
Ahmet Yılmaz

Continuous ambulatory peritoneal dialysis (CAPD) is widely used in the treatment of end stage renal failure patients. Delayed injury to the bowel is an uncommon complication of CAPD catheter. In this article, we presented a case of bowel perforation during catheter removal after the sixth month of peritoneal dialysis termination.


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