Abstract
Thirty-two patients aged 8-63 years trained to manage themselves by continuous ambulatory peritoneal dialysis for end-stage renal failure achieved better steady-state serum biochemistry and much higher haemoglobin and lower serum phosphate concentrations than during treatment with haemodialysis up to one year before. Two patients, however, returned to intermittent haemodialysis because of recurrent peritonitis. Costs of the technique during the first year were less than half those incurred in the first year of home haemodialysis. Nevertheless, the major advantage was the ease with which patient independence and rehabilitation could be achieved. This technique is an appreciable advance over other forms of management for end-stage renal failure. Nevertheless, until it is more refined and long-term problems have been assessed it should probably be used only in established renal units where back-up treatments are available.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Conceicao S. C., Weightman D., Smith P. A., Luno J., Ward M. K., Kerr D. N. Serum ionised calcium concentration: measurement versus calculation. Br Med J. 1978 Apr 29;1(6120):1103–1105. doi: 10.1136/bmj.1.6120.1103. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fenton S. S., Cattran D. C., Allen A. F., Rutledge P., Ampil M., Dadson J., Locking H., Smith S. D., Wilson D. R. Initial experiences with continuous ambulatory peritoneal dialysis. Artif Organs. 1979 Aug;3(3):206–209. doi: 10.1111/j.1525-1594.1979.tb01048.x. [DOI] [PubMed] [Google Scholar]
- Ladenson J. H., Lewis J. W., Boyd J. C. Failure of total calcium corrected for protein, albumin, and pH to correctly assess free calcium status. J Clin Endocrinol Metab. 1978 Jun;46(6):986–993. doi: 10.1210/jcem-46-6-986. [DOI] [PubMed] [Google Scholar]
- Oreopoulos D. G., Clayton S., Dombros N., Zellerman G., Katirtzoglou A. Experience with continuous ambulatory peritoneal dialysis (CAPD). Trans Am Soc Artif Intern Organs. 1979;25:95–99. doi: 10.1097/00002480-197902500-00019. [DOI] [PubMed] [Google Scholar]
- Oreopoulos D. G. Requirements for the organization of a continuous ambulatory peritoneal dialysis program. Nephron. 1979;24(6):261–263. doi: 10.1159/000181731. [DOI] [PubMed] [Google Scholar]
- Oreopoulos D. G., Robson M., Faller B., Ogilvie R., Rapoport A., deVeber G. A. Continuous ambulatory peritoneal dialysis: a new era in the treatment of chronic renal failure. Clin Nephrol. 1979 Mar;11(3):125–128. [PubMed] [Google Scholar]
- Oreopoulos D. G., Robson M., Izatt S., Clayton S., deVeber G. A. A simple and safe technique for continuous ambulatory peritoneal dialysis (CAPD). Trans Am Soc Artif Intern Organs. 1978;24:484–489. [PubMed] [Google Scholar]
- Popovich R. P., Moncrief J. W., Nolph K. D., Ghods A. J., Twardowski Z. J., Pyle W. K. Continuous ambulatory peritoneal dialysis. Ann Intern Med. 1978 Apr;88(4):449–456. doi: 10.7326/0003-4819-88-4-449. [DOI] [PubMed] [Google Scholar]