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Continuous ambulatory peritoneal dialysis: Indian scenario
Georgi Abraham1, Milli Mathew, Anish Hinduja
1Department of Nephrology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai.
Journal of the Indian Medical Association
|November 1, 2002
Summary
Chronic peritoneal dialysis (CPD) is a vital renal replacement therapy in India, with continuous ambulatory peritoneal dialysis (CAPD) and continuous cyclic peritoneal dialysis (CCPD) widely adopted. Despite challenges like cardiovascular death and malnutrition, CPD has significantly impacted renal failure treatment.
Area of Science:
- Nephrology
- Renal Replacement Therapy
- Public Health
Background:
- Chronic peritoneal dialysis (CPD) introduced in India in 1990.
- CAPD and CCPD became accepted renal replacement therapies over nine years.
- Local manufacturing of dialysis fluid expanded program accessibility.
Purpose of the Study:
- To evaluate the impact and outcomes of CPD in India.
- To assess the adoption and challenges of CPD programs.
- To understand patient demographics and treatment modalities.
Main Methods:
- Retrospective analysis of CPD program data from 1990 onwards.
- Inclusion of patients undergoing CAPD and CCPD.
- Monitoring of peritonitis rates and causes of drop-out.
Main Results:
- CPD programs expanded significantly, treating over a thousand patients.
- Initial patient cohort (78%) had diabetes and comorbidities, often drop-outs from hemodialysis.
- Peritonitis rate was 1 episode per 18 patient months, decreasing with new sets.
- Cardiovascular death and peritonitis were major causes of drop-out; malnutrition was a significant issue.
Conclusions:
- CPD has had a major impact on renal failure treatment in India.
- Program expansion was facilitated by local manufacturing and acceptance of CAPD/CCPD.
- Addressing cardiovascular risks and malnutrition is crucial for improving CPD outcomes.