A three-year experience with CCPD in a university-based dialysis and transplantation program

A three-year experience with CCPD in adults and children in a university-based Dialysis and Transplantation Program is presented. Fifty-one patients began treatment from March of 1984 through February of 1987 (5 infants less than age three years, 11 children ages 3 to 17 years and 35 adults, of whom 8 had diabetes mellitus). The approach to treatment selection and the results of treatment including peritonitis rates and patient outcomes are described in the different groups. CCPD has become the treatment of choice for infants and children with ESRD awaiting kidney transplantation. In adults it is a considered a reasonable alternative, and may be the preferred dialysis, modality, in elderly patients, patients with diabetes mellitus and patients with severe cardiovascular disease who require or prefer assistance, who wish to be at home, and who tolerate hemodialysis poorly. This segment of the dialysis population appears to be increasing steadily.