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Incremental peritoneal dialysis (PD) was first described in the late 1990s. Since then, the definition used in studies has varied wildly1. Recently, incremental dialysis has been established as a strategy, with a clear intention to increase the dose of PD, as a consequence of renal clearance declines or onset of uremic symptoms. The initial prescription should be lower than standard “full -dose” PD, and the initial peritoneal clearance should be lower than the individualized clearance goal2.

The role of incremental peritoneal dialysis among patients on peritoneal dialysis. A longitudinal analysis over 20 years.