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Different treatment options in peritoneal dialysis.

Roy van den Berg1, Trijntje T Cnossen2, Constantijn J A M Konings1

  • 1Department of Internal Medicine , St Catharina Hospital Eindhoven.

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|May 19, 2015
PubMed
Summary

Preserving residual renal function (RRF) is crucial for patients with end-stage renal disease (ESRD) awaiting kidney transplants. An integrated care approach, starting with peritoneal dialysis (PD), can improve outcomes for uraemia patients.

Keywords:
fluid stateicodextrinperitoneal transport characteristicsresidual renal functionsodium sieving

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Area of Science:

  • Nephrology
  • Renal Medicine
  • Transplantation Science

Background:

  • End-stage renal disease (ESRD) necessitates dialysis while patients await kidney transplantation.
  • High mortality rates are associated with ESRD patients.
  • Residual renal function (RRF) plays a vital role in patient outcomes.

Purpose of the Study:

  • To highlight the significance of preserving residual renal function (RRF) in ESRD patients.
  • To advocate for an integrated care approach to uraemia management.
  • To propose peritoneal dialysis (PD) as an initial treatment modality.

Main Methods:

  • This is a review article.
  • Literature review on RRF preservation and dialysis modalities.
  • Analysis of integrated care models in uraemia management.

Main Results:

  • Preservation of RRF is critical for improving the prognosis of ESRD patients.
  • An integrated care model offers a structured approach to managing uraemia.
  • Early initiation of PD may be beneficial in preserving RRF.

Conclusions:

  • Maintaining RRF is essential for patients with ESRD.
  • An integrated care approach, beginning with PD, is recommended for uraemia management.
  • This strategy aims to improve patient survival and quality of life while awaiting transplantation.