[Continuous ambulatory peritoneal dialysis: is long-term therapy possible?]

The aim of this study was an analysis of long-term results of CAPD. 12 patients treated with CAPD over 5 years were analysed retrospectively. The most common cause of end-stage renal disease, present in 8 patients, was diabetes nephropathy. In the 1st, 3rd and 5th year of CAPD the biochemical parameters, dialysis adequacy, peritoneal transport were evaluated. Despite the fact that adequacy of CAPD was achieved, the progression of cardiovascular complications occurred, especially in diabetic patients with type 1 diabetes. It is suggested that early kidney transplantation should be considering, before cardiovascular complications progressed.