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[Chronic ambulatory peritoneal dialysis]

P Glasson, M Leski, H Favre

    Schweizerische Medizinische Wochenschrift
    |August 22, 1981
    PubMed
    Summary
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    Continuous ambulatory peritoneal dialysis (CAPD) effectively manages end-stage renal failure, improving anemia, mineral balance, and blood pressure. This study suggests CAPD is a viable treatment option for more kidney disease patients.

    Area of Science:

    • Nephrology
    • Renal Replacement Therapy

    Context:

    • End-stage renal failure (ESRF) necessitates renal replacement therapy.
    • Continuous ambulatory peritoneal dialysis (CAPD) emerged in 1976 as a treatment option.
    • Evaluating CAPD's efficacy in a diverse ESRF patient cohort is crucial.

    Purpose:

    • To assess the clinical value and outcomes of CAPD in eight patients with varied renal diseases over one year.
    • To monitor key biochemical parameters, blood pressure, and complication rates during CAPD treatment.

    Summary:

    • CAPD demonstrated significant benefits including anemia correction, improved calcium and phosphate control, and excellent blood pressure management.
    • Observed metabolic changes included hyperlipoproteinemia and increased plasma renin activity and aldosterone; thyroid values remained in the low normal range.

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  • A low incidence of peritonitis was noted, with successful ambulatory management of cases.

    • Impact:

    • The findings support the expanded use of CAPD as a safe and effective treatment modality for end-stage renal disease.
    • CAPD offers a valuable alternative for patients with complex renal conditions, improving quality of life.
    • This study highlights the potential for CAPD to benefit a broader population of ESRF patients.