Open AccessHow much peritoneal dialysis does your patient need? Parameters and goals
Author(s) -
Teitelbaum Isaac
Publication year - 2010
Publication title -
dialysis & transplantation
Language(s) - English
Resource type - Journals
eISSN - 1932-6920
pISSN - 0090-2934
DOI - 10.1002/dat.20473
Subject(s) - medicine , peritoneal dialysis , urology , renal function , dialysis , dialysis adequacy , creatinine , clearance , intensive care medicine , hemodialysis
Abstract Peritoneal dialysis adequacy is most commonly assessed by indices of small solute clearance (Kt/V urea and creatinine clearance [C cr ], for example). Once a threshold of small solute clearance has been obtained, however, further increases in small solute clearance do not result in improved long‐term outcomes of peritoneal dialysis (PD) patients. In addition to small solute clearance, there are several other factors that may affect optimal dialysis outcomes. These include, but are not limited to: volume homeostasis, infiammation, malnutrition, and mineral/bone metabolism. This article will briefiy review data regarding the relationships between these various factors and survival on PD.