Format

Send to

Choose Destination
Perit Dial Int. 2000 Jul-Aug;20(4):412-7.

Preliminary evaluation of incremental peritoneal dialysis in 25 patients.

Author information

1
Peritoneal Dialysis Program, Division of Nephrology and Dialysis, IRCCS Ospedale Maggiore Policlinico di Milano, Italy. deveccpd@polic.cilea.it

Abstract

BACKGROUND:

Incremental dialysis has been suggested for patients with some residual renal function. However, very little published clinical data exist on the feasibility of this schedule.

OBJECTIVES:

To assess feasibility of incremental dialysis, with regard to its effect, complications, and impact on quality of life.

DESIGN:

Pilot prospective study, not controlled.

SETTING:

Nephrology division, public clinical research hospital.

PATIENTS:

Twenty-five patients (19 men, mean age 61+/-13 years, body weight 63+/-11 kg) began peritoneal dialysis (the first treatment of uremia) with a single nightly exchange lasting 10 hours or 2 daily exchanges over 12 hours according to creatinine clearance and Kt/N. Patients gave informed consent and reported their work activity, degree of rehabilitation, and their quality of life by answering a questionnaire prepared for this purpose.

OUTCOME MEASURES:

Survival rate, complications related to peritoneal dialysis, and residual renal and peritoneal clearances.

RESULTS:

During the study period no patient died. Complications related to dialysis were peritonitis (0.41 episodes/year) and exit-site infection (0.32 episodes/year). All patients continued to work with full rehabilitation and considered 1 or 2 exchanges per day less troublesome than 3 or 4.

CONCLUSIONS:

Incremental dialysis is well accepted by patients and staff. This technique does not involve a high risk of complications and is economical. Therefore incremental dialysis is feasible.

PMID:
11007372
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for HighWire
Loading ...
Support Center