Shaded areas of CAPD

It is well recognized that CAPD provides many advantageous points compared with hemodialysis as a kidney replacement therapy. However, there are a number of adverse facts which will result in withdrawal from CAPD. In this article, from my own experience on CAPD during the past 12 years, I deal only with shaded areas of this dialytic modality, such as the limitation of good candidates for CAPD, dysfunction of the peritoneal membrane, infectious complications, metabolic abnormalities and psychological stress. My conclusion is that CAPD is one of transient replacement therapies, although 'transient' may mean 5 or 6 years.