Incremental Versus Standard (Full-Dose) Peritoneal Dialysis.
incremental dialysis
patient-centered care
peritoneal dialysis
personalized medicine
quality of life
Journal
Kidney international reports
ISSN: 2468-0249
Titre abrégé: Kidney Int Rep
Pays: United States
ID NLM: 101684752
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
15
09
2021
revised:
08
11
2021
accepted:
15
11
2021
entrez:
14
2
2022
pubmed:
15
2
2022
medline:
15
2
2022
Statut:
epublish
Résumé
Incremental peritoneal dialysis (PD), defined as less than "standard dose" PD prescription, has a number of possible benefits, including better preservation of residual kidney function (RKF), reduced risk of peritonitis, lower peritoneal glucose exposure, lesser environmental impact, and reduced costs. Patients commencing PD are often new to kidney replacement therapy and possess substantial RKF, which may allow safe delivery of an incremental prescription, often in the form of lower frequency or duration of PD. This has the potential to help improve quality of life (QOL) and life participation through reducing time requirements and burden of treatment. Alternatively, incremental PD could potentially contribute to reduced small solute clearance, fluid overload, or patient reluctance to increase dialysis prescription when later needed. This review discusses the definition, rationale, uptake, potential advantages and disadvantages, and clinical trial evidence pertaining to the use of incremental PD.
Identifiants
pubmed: 35155856
doi: 10.1016/j.ekir.2021.11.019
pii: S2468-0249(21)01542-4
pmc: PMC8820986
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
165-176Informations de copyright
© 2021 International Society of Nephrology. Published by Elsevier Inc.
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