Cost-effective automated peritoneal dialysis for patients with average to low transport

Patients with average to low transport kinetics are generally best dialyzed by standard continuous ambulatory peritoneal dialysis (CAPD) regimens that optimize clearance through longer dwell times. However, patients often request or require automated peritoneal dialysis (APD, also called cycler dialysis) in response to lifestyle issues. Our experience shows that these patients can be economically dialyzed in an 8 to 10 L mixed APD/CAPD regimen reversing the timing of traditional CAPD exchanges. The cost of a 9 L/day mixed regimen is comparable to that of 8 L/day CAPD.