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Continuous ambulatory peritoneal dialysis in a pediatric population
American Journal of Diseases of Children (1960)
|April 1, 1983
Summary
Continuous ambulatory peritoneal dialysis (CAPD) effectively managed uremia in children with end-stage renal disease. This study highlights CAPD as a viable long-term alternative to hemodialysis, showing good growth and psychosocial adjustment.
Area of Science:
- Pediatric Nephrology
- Renal Replacement Therapy
- Peritoneal Dialysis
Background:
- End-stage renal disease (ESRD) in children presents significant therapeutic challenges.
- Long-term dialysis options for pediatric ESRD require careful consideration of growth and psychosocial factors.
- Continuous ambulatory peritoneal dialysis (CAPD) offers a potential home-based treatment modality.
Purpose of the Study:
- To evaluate the efficacy and safety of CAPD in pediatric patients with ESRD.
- To assess growth rates and psychosocial adjustment in children undergoing CAPD.
- To compare CAPD as a long-term therapy alternative to hemodialysis.
Main Methods:
- Retrospective analysis of seven pediatric patients (6 weeks to 14 years) treated with CAPD.
- Study duration of 60 patient-months.
- Monitoring of uremic control, peritonitis incidence, growth parameters, and psychosocial well-being.
Main Results:
- Satisfactory control of uremia was achieved in all patients.
- Seven episodes of peritonitis occurred (1 per 8.6 patient-months) without compromising dialysis efficacy or membrane permeability.
- Patients over 5 years showed growth comparable to hemodialysis patients; infants exhibited normal growth rates. Families reported good psychosocial adjustment.
Conclusions:
- CAPD is an effective and safe treatment for pediatric end-stage renal disease.
- CAPD supports adequate growth and positive psychosocial adaptation in children.
- Continuous ambulatory peritoneal dialysis is a satisfactory long-term alternative to hemodialysis for pediatric ESRD management.