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Adequacy of peritoneal dialysis and the importance of preserving residual renal function
Author(s) -
A.W.L. van den Wall Bake,
Jeroen P. Kooman,
Jane Lange,
Watske Smit
Publication year - 2006
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfl188
Subject(s) - medicine , peritoneal dialysis , renal function , intensive care medicine , dialysis , residual , renal replacement therapy , urology , hemodialysis , surgery , algorithm , computer science
The well-being and survival of dialysis patients not only depend on the removal of waste products and excess fluid, but also on the prevention of cardiovascular complications by maintaining normovolaemia and adequate blood pressure and avoidance of ectopic calcification. Also, the maintenance of nutritional status and adequate removal of middle molecules are amongst the most important issues in long-term renal replacement therapy. In this review, attention is given to optimal peritoneal small solute clearance and Kt/V and to the evidence concerning the role of residual renal function. In addition, factors that can influence this residual function are also discussed.

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