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Shaded areas of CAPD.
1Second Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan.
Blood Purification
|January 1, 1992
Summary
Continuous ambulatory peritoneal dialysis (CAPD) offers benefits but has drawbacks. This therapy is often transient, lasting about 5-6 years due to complications like membrane dysfunction and psychological stress.
Area of Science:
- Nephrology
- Renal Replacement Therapy
- Peritoneal Dialysis
Background:
- Continuous ambulatory peritoneal dialysis (CAPD) is a kidney replacement therapy.
- CAPD has advantages over hemodialysis but also adverse effects leading to treatment withdrawal.
Purpose of the Study:
- To discuss the limitations and adverse aspects of CAPD based on 12 years of clinical experience.
- To highlight challenges associated with CAPD, including candidate selection, peritoneal membrane function, infections, metabolic issues, and psychological impact.
Main Methods:
- Retrospective review of clinical experience with CAPD over 12 years.
- Qualitative analysis of adverse events and complications associated with CAPD.
Main Results:
- Identified limitations in suitable candidates for CAPD.
- Documented issues with peritoneal membrane dysfunction, infectious complications, metabolic abnormalities, and psychological stress.
- Observed that CAPD is a transient therapy, often lasting 5-6 years.
Conclusions:
- CAPD, despite its benefits, has significant drawbacks that necessitate careful patient selection and monitoring.
- Adverse effects related to the peritoneal membrane, infections, metabolism, and psychological well-being limit the long-term efficacy of CAPD.
- CAPD should be considered a temporary renal replacement therapy option.