Why Do Patients Switch from PD to HD?

In retrospective data from 5,224 DCI PD patients from 2010 to 2019 about 61% started with PD (PD-first), 18% switched from HD to PD in the first 90 days (PD-early), and 21% after 90 days (PD-late). Compared to PD-first patients, those who switched early or late had a higher risk of transfer to HD in the first 9 months. Additional risk factors included peritonitis, fewer home visits, lower serum albumin, lower residual kidney function, and lower PD clearance.

Read the abstract » | (added 2024-05-09)

Tags: PD first, PD early, PD late, Peritonitis, Serum Albumin, Residual Kidney Function, PD Clearance

Must PD Stop when Residual Kidney Function is Gone?

Not necessarily. In a small, physiological study (n=15) of anuric CAPD patients with low Kt/V, fluid status, dietary intake, and nitrogen removal were all assessed. All were able to maintain good nutritional status, with no symptoms of nitrogen retention and good volume control.

Read the abstract » | (added 2022-02-14)

Tags: PD, Residual Kidney Function, CAPD, Kt/V, Fluid Status, Dietary Intake, Nitrogen Removal, Volume Control

Residual Kidney Function and Incremental PD

A retrospective cohort study was done of 96 incident PD patients (54 on incremental PD; 42 on standard PD). The incremental PD patients had lower exchange volumes, less glucose load—and longer peritonitis-free survival.

Read the abstract » | (added 2021-09-14)

Tags: PD, Incremental Dialysis, Peritonitis, Residual Kidney Function, Technique Survival