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The Treatment of Diabetic Renal Failure by Continuous Ambulatory Peritoneal Dialysis
Author(s) -
Berisa F.,
McGonigle R.,
Beaman M.,
Adu D.,
Michael J.
Publication year - 1989
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.1989.tb01142.x
Subject(s) - medicine , continuous ambulatory peritoneal dialysis , peritoneal dialysis , diabetes mellitus , cohort , surgery , peritonitis , ambulatory , dialysis , incidence (geometry) , end stage renal disease , diabetic nephropathy , hemodialysis , endocrinology , physics , optics
During the 6‐year period 1981–1987, 309 patients started chronic ambulatory peritoneal dialysis (CAPD), of whom 75 (24%) had diabetes. Despite severe peripheral vascular problems (20%), ischaemic heart disease (90%), and complete blindness (21%) the 1‐year patient survival on CAPD was 88%. The actuarial patient survival for diabetic patients was similar to that of the non‐diabetic cohort over the first 18 months but fell to 48% (compared to 70% in non‐diabetic patients) at 3 years. Complications associated with CAPD, including the incidence of peritonitis, were no different between the diabetic and non‐diabetic patient populations. Successful treatment for end‐stage renal disease (ESRD) in diabetic patients can be achieved and justified in a liberal selection programme for the treatment of diabetic ESRD.