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[Does CAPD have a future?].

J F Maher

    Zeitschrift Fur Urologie Und Nephrologie
    |April 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Continuous ambulant peritoneal dialysis (CAPD) has gained popularity over intermittent therapies due to improved effectiveness and patient independence. Advances in managing peritonitis have solidified CAPD as a key treatment for end-stage renal disease.

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    Area of Science:

    • Nephrology
    • Medical Technology

    Context:

    • Peritoneal dialysis has evolved over five decades.
    • Early adoption faced challenges with patient and physician acceptance.
    • Continuous ambulant peritoneal dialysis (CAPD) emerged as a significant advancement.

    Purpose:

    • To highlight the evolution and increasing acceptance of CAPD.
    • To compare CAPD's effectiveness with intermittent dialysis methods.
    • To discuss the factors contributing to CAPD's popularity and its role in treating end-stage renal insufficiency.

    Summary:

    • CAPD offers greater weekly solute clearances compared to intermittent forms, enhancing treatment effectiveness.
    • Simple handling and patient autonomy from machinery are key drivers of CAPD's popularity.
    • Successful strategies against peritonitis have established CAPD as a recognized treatment for end-stage renal disease.

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    Impact:

    • CAPD has become a widely accepted treatment for end-stage renal insufficiency.
    • It offers a viable alternative to hemodialysis, particularly with ongoing improvements.
    • CAPD is expected to maintain its clinical relevance alongside hemodialysis in the coming decade.