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Tidal continuous cycling peritoneal dialysis in children
Lavjay Butani1, Maha Haddad2, Mark Joseph3
1Division of Pediatric Nephrology, Department of Pediatrics, University of California, Davis, 2516 Stockton Blvd, Room 348, Sacramento, CA, 95817, USA. lbutani@ucdavis.edu.
Pediatric Nephrology (Berlin, Germany)
|February 13, 2023
Summary
Tidal peritoneal dialysis (TPD) is used in 10% of pediatric chronic kidney disease patients. This review clarifies TPD terminology, risks, benefits, and provides practical guidance for pediatric nephrologists prescribing TPD.
Area of Science:
- Pediatric Nephrology
- Renal Replacement Therapy
- Peritoneal Dialysis
Background:
- Tidal peritoneal dialysis (TPD) accounts for approximately 10% of home peritoneal dialysis regimens in children with chronic kidney disease stage 5.
- Current pediatric nephrology practice shows gaps in TPD approach due to confusing terminology, conflicting data, and limited practical guidelines.
Purpose of the Study:
- To bridge the knowledge gap regarding TPD in pediatric patients.
- To provide an evidence-based, easy-to-use guide on the practical aspects of TPD prescription for children.
Main Methods:
- Educational review utilizing evidence-based data.
- Analysis of existing literature on TPD risks, benefits, indications, and prescription practices.
Main Results:
- Identified key areas of confusion in TPD terminology and application.
- Synthesized conflicting data on TPD's risks and benefits.
- Highlighted the need for practical, indication-based TPD prescription guidelines.
Conclusions:
- A clear, practical guide is needed to improve TPD prescription in pediatric nephrology.
- Addressing terminology and evidence gaps will enhance TPD utilization in children with chronic kidney disease stage 5.
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