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1996 peritoneal dialysis--core indicators report.

M J Flanigan1, M V Rocco, D L Frankenfield

  • 1Office of Clinical Standards & Quality, University of Iowa College of Medicine, Iowa City, IA 52240-4060, USA. mjf@inav.net

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|March 13, 1999
PubMed
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The 1996 Peritoneal Dialysis-Core Indicators Study (PD-CIS) found that many peritoneal dialysis (PD) patients did not meet recommended dialysis intensity guidelines. Patient health indicators like hematocrit and albumin also showed room for improvement in PD care.

Area of Science:

  • Nephrology
  • Renal Medicine
  • Dialysis Therapy

Background:

  • Peritoneal dialysis (PD) is a key treatment for End-Stage Renal Disease (ESRD).
  • Understanding patient demographics and treatment patterns is crucial for optimizing PD care.
  • The 1996 Peritoneal Dialysis-Core Indicators Study (PD-CIS) aimed to assess current PD practices in the US.

Purpose of the Study:

  • To retrospectively review PD patient data from the US ESRD program.
  • To identify patient characteristics and current dialysis prescription trends.
  • To evaluate the adequacy of dialysis and key health indicators in PD patients.

Main Methods:

  • Retrospective review of a random sample of US ESRD patients undergoing PD.
  • Analysis of patient demographics, primary diagnosis, and dialysis modality (APD vs. CAPD).

Related Experiment Videos

  • Assessment of dialysis prescription parameters, dialysis index (wKt/Vurea), hematocrit, and serum albumin levels.

    • Main Results:

    • PD patients were younger, more likely diagnosed with glomerulonephritis, and less often African-American than hemodialysis patients.
    • Approximately one-third of PD patients used automated peritoneal dialysis (APD).
    • 30% of patients received dialysis below proposed minimal guidelines, with mean wKt/Vurea of 2.0 for CAPD.
    • Suboptimal hematocrit (30% < 30%) and serum albumin (25% < 3.2 g/dL) were observed.

    Conclusions:

    • Dialysis prescriptions in 1996 often lacked kinetic principles, leading to inadequate dialysis intensity for many PD patients.
    • Significant opportunities exist to improve patient health and well-being through better monitoring and management of PD care.
    • Further research and guideline adherence are needed to enhance outcomes for peritoneal dialysis patients.