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Tidal peritoneal dialysis vs. continuous cyclic peritoneal dialysis: children's preference.
ANNA Journal
|June 1, 1992
Summary
Tidal peritoneal dialysis (TPD) offers a shorter, preferred dialysis time for pediatric patients. This method improved quality of life for children and their families within six weeks of training.
Area of Science:
- Pediatric Nephrology
- Renal Replacement Therapy
Background:
- Continuous cyclic peritoneal dialysis (CCPD) is a common renal replacement therapy for children.
- Longer dialysis sessions can impact quality of life for pediatric patients and their families.
Purpose of the Study:
- To evaluate the feasibility and patient-reported value of shorter dialysis times using tidal peritoneal dialysis (TPD) in children.
- To assess if TPD warrants the additional training and machine setup time.
Main Methods:
- A survey was conducted with 6 pediatric patients (ages 5-16) and their parents undergoing TPD.
- Training focused on an automated cycler system for TPD, with dialysis limited to 8 hours.
- Prescriptions were adjusted to maintain urea and creatinine clearances comparable to CCPD levels.
Main Results:
- Pediatric patients and parents achieved comfort with TPD within 6 weeks of training.
- Subjects overwhelmingly preferred the reduced dialysis duration of TPD.
- All participants requested to continue TPD treatment.
Conclusions:
- TPD is a viable and preferred alternative to CCPD for pediatric patients, offering shorter dialysis times.
- TPD significantly enhances the quality of life for children with kidney disease and their families.
- The benefits of TPD outweigh the initial training and machine assembly investment.