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Peritoneal Dialysis, CAPD vs APD

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https://www.readbyqxmd.com/read/29044336/the-impact-of-body-mass-index-bmi-variation-on-mortality-of-incident-elderly-patients-on-peritoneal-dialysis-a-joint-model-analysis
#1
Marcia Regina Gianotti Franco, Fernando Antonio Basile Colugnati, Abdul Rashid Qureshi, José Carolino Divino-Filho, Natália Maria Da Silva Fernandes
INTRODUCTION: Data on impact of high body mass index (BMI) on mortality of patients on peritoneal dialysis (PD), especially among elderly, are inconsistent. Objective: To evaluate impact of BMI on cohort of incident elderly PD patients over time. METHODS: Prospective multicenter cohort study (December / 2004-October/2007) with 674 patients. Socio-demographic and clinical data evaluated with patients followed until death, transfer to hemodialysis (HD), recovery of renal function, loss of follow-up or transplant...
July 2017: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
https://www.readbyqxmd.com/read/28970363/comparison-of-change-in-peritoneal-function-in-patients-on-continuous-ambulatory-pd-vs-automated-pd
#2
Nasreen Samad, Stanley Fan
BACKGROUND: Patients on automated peritoneal dialysis (APD) may have greater exposure to glucose in the PD fluid than those on continuous ambulatory PD (CAPD). If this causes long-term damage to the peritoneal membrane, it will have implications for a patient's choice of modality. METHODS: Membrane function of long-term APD or CAPD patients was followed prospectively. The data were collected from electronic patient records in our unit from 2000 to 2014. The rate of change in membrane transport status (D/Pcr) and ultrafiltration (UF4) for each patient was calculated using the least square regression line equation...
September 28, 2017: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/28748880/incident-elderly-patients-on-peritoneal-dialysis-epidemiological-characteristics-and-modality-impact-on-survival-time
#3
Marcia R G Franco, Marcus G Bastos, Abdul R Qureshi, Alyne Schreider, Kleyton de Andrade Bastos, Jose C Divino-Filho, Natalia M S Fernandes
Aging of the population and the increased prevalence of diseases such as diabetes and arterial hypertension result in an increasing need of dialysis treatment. Herein we describe a cohort of elderly patients on peritoneal dialysis (PD) and assess the influence of the modality on the long-term survival. Out of a multicenter prospective cohort of 2,144 BRAZPD PD incident patients during a period from December 2004 to October 2007, 762 elderly adults, defined as patients ≥65-year-old, were eligible for the study, 413 started on automated PD (APD) and 349 on continuous ambulatory PD (CAPD)...
July 2017: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/28500518/incremental-start-to-pd-as-experienced-in-italy-results-of-censuses-carried-out-from-2005-to-2014
#4
Loris Neri, Giusto Viglino, Giancarlo Marinangeli, Anna Rachele Rocca, Alessandro Laudon, Antonino Ragusa, Gianfranca Cabiddu
BACKGROUND: It is not known how widely used in Italy an incremental start to in peritoneal dialysis (Incr-PD) is. METHODS: By analyzing the peritoneal dialysis (PD) censuses conducted by the PD Study Group (GSDP-SIN) for the years 2005, 2008, 2010, 2012 and 2014 in all the Centers performing PD in Italy, the use of Incr-PD, i.e. continuous ambulatory peritoneal dialysis (CAPD) with 1 or 2 exchanges/day or automated peritoneal dialysis (APD) with 3-4 sessions/week, was examined among incident PD patients...
August 2017: Journal of Nephrology
https://www.readbyqxmd.com/read/28325860/economic-costs-of-automated-and-continuous-ambulatory-peritoneal-dialysis-in-taiwan-a-combined-survey-and-retrospective-cohort-analysis
#5
Chao-Hsiun Tang, Yu-Ting Wu, Siao-Yuan Huang, Hsi-Hsien Chen, Ming-Ju Wu, Bang-Gee Hsu, Jer-Chia Tsai, Tso-Hsiao Chen, Yuh-Mou Sue
OBJECTIVES: Taiwan succeeded in raising the proportion of peritoneal dialysis (PD) usage after the National Health Insurance (NHI) payment scheme introduced financial incentives in 2005. This study aims to compare the economic costs between automated PD (APD) and continuous ambulatory PD (CAPD) modalities from a societal perspective. DESIGN AND SETTING: A retrospective cohort of patients receiving PD from the NHI Research Database was identified during 2004-2011...
March 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/26847586/is-adapted-apd-theoretically-more-efficient-than-conventional-apd
#6
Carl M Öberg, Bengt Rippe
♦ BACKGROUND: A modified version of automated peritoneal dialysis (APD) using not only variable dwell times but also variable fill volumes has been tested against conventional APD (cAPD) with fixed dwell volumes in a randomized controlled clinical study. The results have indicated that the modified schedule for APD, denoted adapted APD (aAPD), can lead to improved small solute clearances, and, above all, a markedly increased sodium removal (NaR). To theoretically test these results, we have modeled aAPD vs cAPD in computer simulations using the 3-pore model (TPM)...
March 2017: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/25358390/sleep-disorders-in-patients-with-end-stage-renal-disease-undergoing-dialysis-comparison-between-hemodialysis-continuous-ambulatory-peritoneal-dialysis-and-automated-peritoneal-dialysis
#7
COMPARATIVE STUDY
Ricardo L M Losso, Gisele R Minhoto, Miguel C Riella
Sleep disorders for patients on dialysis are significant causes of a poorer quality of life and increased morbidity and mortality. No study has evaluated patients undergoing automated peritoneal dialysis (APD) to assess their sleep disorders compared to hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD). A total of 166 clinically stable patients who had been on dialysis for at least 3 months were randomly selected for the study and divided into HD, CAPD or APD. Socio-demographic, clinical and laboratory parameters and self-administered questionnaires were collected for the investigation of insomnia, restless legs syndrome (RLS), bruxism, rapid eye movement sleep behavior disorder, excessive daytime sleepiness (EDS), obstructive sleep apnea syndrome (OSAS), sleepwalking, sleep hygiene, depression and anxiety...
February 2015: International Urology and Nephrology
https://www.readbyqxmd.com/read/25345384/peritoneal-dialysis-update-on-patient-survival
#8
REVIEW
J Pedro Teixeira, Sara A Combs, Isaac Teitelbaum
Due to ongoing limitations in the availability and timeliness of kidney transplantation, most patients with end-stage renal disease (ESRD) require some form of dialysis during their lifetime. Worldwide, ESRD patients most commonly receive hemodialysis (HD) or one of two forms of peritoneal dialysis (PD), continuous ambulatory PD (CAPD) or automated PD (APD). In this review, we analyze the data available from the last several decades on overall survival associated with HD as compared to PD as well as with CAPD compared to APD...
January 2015: Clinical Nephrology
https://www.readbyqxmd.com/read/24965296/left-ventricular-hypertrophy-and-blood-pressure-control-in-automated-and-continuous-ambulatory-peritoneal-dialysis-patients
#9
COMPARATIVE STUDY
Nuh Ataş, Yasemin Erten, Gülay Ulusal Okyay, Salih Inal, Salih Topal, Kürşad Öneç, Ahmet Akyel, Bülent Çelik, Yusuf Tavil, Musa Bali, Turgay Arınsoy
Hypertension, non-dipper blood pressure (BP) pattern and decrease in daily urine output have been associated with left ventricular hypertrophy (LVH) in peritoneal dialysis (PD) patients. However, there is lack of data regarding the impact of different PD regimens on these factors. We aimed to investigate the impact of circadian rhythm of BP on LVH in end-stage renal disease patients using automated peritoneal dialysis (APD) or continuous ambulatory peritoneal dialysis (CAPD) modalities. Twenty APD (7 men, 13 women) and 28 CAPD (16 men, 12 women) patients were included into the study...
June 2014: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/24584609/removal-of-different-classes-of-uremic-toxins-in-apd-vs-capd-a-randomized-cross-over-study
#10
RANDOMIZED CONTROLLED TRIAL
Sunny Eloot, Raymond Vanholder, Clement Dequidt, Wim Van Biesen
UNLABELLED:AIM: In this study, we investigated, and this for the different classes of uremic toxins, whether increasing dialysate volume by shifting from continuous ambulatory peritoneal dialysis (CAPD) to higher volume automated peritoneal dialysis (APD) increases total solute clearance. ♦ METHODS: Patients on peritoneal dialysis were randomized in a cross-over design to one 24-hour session of first a CAPD regimen (3*2 L of Physioneal 1...
July 2015: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/24463879/-results-of-the-cooperative-study-of-spanish-peritoneal-dialysis-registries-analysis-of-12-years-of-follow-up
#11
César Remón-Rodríguez, Pedro Quirós-Ganga, José Portolés-Pérez, Carmina Gómez-Roldán, Alfonso Miguel-Carrasco, Mercè Borràs-Sans, Ana Rodríguez-Carmona, Miguel Pérez-Fontán, J Emilio Sánchez-Álvarez, Carmen Rodríguez Suárez
INTRODUCTION AND OBJECTIVES: There is currently no registry that gives a complete and overall view of the peritoneal dialysis (PD) situation in Spain. However, a report on PD in Spain was developed for various conferences and meetings over several years from data provided by each registry in the autonomous communities and regions. The main objective of this study is to analyse this data in aggregate and comparatively to obtain a representative sample of the Spanish population on PD in recent years, in order that analysis and results in terms of demographic data, penetration of the technique, geographical differences, incidence and prevalence, technical aspects, intermediate indicators, comorbidity, and outcomes such as patient and technique survival may be extrapolated to the whole country...
2014: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://www.readbyqxmd.com/read/24339299/effect-of-peritoneal-dialysis-modality-on-the-1-year-rate-of-decline-of-residual-renal-function
#12
Chan Ho Kim, Hyung Jung Oh, Mi Jung Lee, Young Eun Kwon, Yung Ly Kim, Ki Heon Nam, Kyoung Sook Park, Seong Yeong An, Kwang Il Ko, Hyang Mo Koo, Fa Mee Doh, Seung Hyeok Han, Tae-Hyun Yoo, Beom Seok Kim, Shin-Wook Kang, Kyu Hun Choi
PURPOSE: The effect of different peritoneal dialysis (PD) modalities on the decline in residual renal function (RRF) is unclear due to inconsistencies among studies. In particular, the effect of automated peritoneal dialysis (APD) modalities [continuous cyclic peritoneal dialysis (CCPD) and nightly intermittent peritoneal dialysis (NIPD)] on RRF has not been examined in a large cohort. MATERIALS AND METHODS: We conducted a single-center retrospective study to investigate the association between PD modalities and decline in RRF in 142 incident PD patients [34 on CCPD, 36 on NIPD, and 72 on continuous ambulatory peritoneal dialysis (CAPD)]...
January 2014: Yonsei Medical Journal
https://www.readbyqxmd.com/read/24211750/comparison-of-cost-utility-between-automated-peritoneal-dialysis-and-continuous-ambulatory-peritoneal-dialysis
#13
COMPARATIVE STUDY
Laura Cortés-Sanabria, Carlos A Paredes-Ceseña, Rebeca M Herrera-Llamas, Yolanda Cruz-Bueno, Herman Soto-Molina, Leonardo Pazarín, Margarita Cortés, Héctor R Martínez-Ramírez
BACKGROUND AND AIMS: The use of automated peritoneal dialysis (APD) is increasing compared to continuous ambulatory peritoneal dialysis (CAPD). Surprisingly, little data about health benefits and cost of APD exist, and virtually no information comparing the cost-utility between CAPD and APD is available. We undertook this study to evaluate and compare the health-related quality of life (HRQOL) and cost-utility indexes in patients on CAPD vs. APD METHODS: This was a prospective cohort of patients initiating dialysis (2008-2009)...
November 2013: Archives of Medical Research
https://www.readbyqxmd.com/read/23547280/comparison-of-direct-medical-costs-between-automated-and-continuous-ambulatory-peritoneal-dialysis
#14
COMPARATIVE STUDY
Laura Cortés-Sanabria, Brenda E Rodríguez-Arreola, Victor R Ortiz-Juárez, Herman Soto-Molina, Leonardo Pazarín-Villaseñor, Héctor R Martínez-Ramírez, Alfonso M Cueto-Manzano
OBJECTIVE: We set out to estimate the direct medical costs (DMCs) of peritoneal dialysis (PD) and to compare the DMCs for continuous ambulatory PD (CAPD) and automated PD (APD). In addition, DMCs according to age, sex, and the presence of peritonitis were evaluated. METHODS: Our retrospective cohort analysis considered patients initiating PD, calculating 2008 costs and, for comparison, updating the results for 2010. The analysis took the perspective of the Mexican Institute of Social Security, including outpatient clinic and emergency room visits, dialysis procedures, medications, laboratory tests, hospitalizations, and surgeries...
November 2013: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/23469775/automated-peritoneal-dialysis-in-hong-kong-there-are-two-distinct-groups-of-patients
#15
Bonnie Ching-Ha Kwan, Kai-Ming Chow, Terry King-Wing Ma, Vincent Yu, Man-Ching Law, Chi-Bon Leung, Philip Kam-Tao Li, Cheuk-Chun Szeto
AIM: To compare the clinical outcome between continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD) in specific subgroups of patients. METHODS: We reviewed the clinical outcome of 90 consecutive incident APD patients and 180 CAPD patients in our centre. RESULTS: The median follow up was 21.9 months (inter-quartile range, 9.5 to 46.5 months). The APD group was younger and had a lower Charlson's score than the CAPD group...
May 2013: Nephrology
https://www.readbyqxmd.com/read/23461737/sodium-removal-and-peritoneal-dialysis-modalities-no-differences-with-optimal-prescription-of-icodextrin
#16
COMPARATIVE STUDY
Costas Fourtounas, Periklis Dousdampanis, Andreas Hardalias, Jannis G Vlachojannis
Continuous ambulatory peritoneal dialysis (CAPD) has been considered as a more efficient modality for sodium removal than automated peritoneal dialysis (APD), due to the longer dwell times and the sodium sieving phenomenon. However, because studies regarding sodium removal in peritoneal dialysis (PD) report rather controversial results and carry various methodological flaws, it remains uncertain whether they offer enough significant information regarding PD prescription and therapy. The aim of the present observational cross-sectional study was to evaluate the impact of the optimal prescription of CAPD and APD, regarding solute clearances and daily ultrafiltrate, on daily sodium removal...
July 2013: Artificial Organs
https://www.readbyqxmd.com/read/23311207/determinants-of-sodium-removal-with-tidal-automated-peritoneal-dialysis
#17
Alessandro Domenici, Luca Scabbia, Francesca Sivo, Clorinda Falcone, Giorgio Punzo, Paolo Menè
In a comprehensive evaluation of dialysis adequacy, major attention has been recently paid to fluid and Na balance. Removal of Na has been reported to be significantly poorer with automated peritoneal dialysis (APD) than with continuous ambulatory peritoneal dialysis. Only limited data on Na removal with tidal APD have been published. We analyzed peritoneal Na mass balance in 122 separate nightly tidal APD sessions performed by 7 peritonitis-free, clinically stable, patients with negligible residual renal function (< 100 mL urine daily)...
2012: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/22817125/high-correlation-between-clearance-of-renal-protein-bound-uremic-toxins-indoxyl-sulfate-and-p-cresyl-sulfate-and-renal-water-soluble-toxins-in-peritoneal-dialysis-patients
#18
Wen-Hung Huang, Cheng-Chieh Hung, Chih-Wei Yang, Jeng-Yi Huang
Peritoneal dialysis (PD) is characterized by a slow continuous removal of solutes. Traditionally, dialysis adequacy is quantified by referring to the kinetics of urea nitrogen (UN) and creatinine (Cr) clearance. The efficacy of middle molecular substances and protein-bound solutes as markers for peritoneal dialysis adequacy is not clear. The aim of this cross-sectional study was to investigate correlations between the clearance of indoxyl sulfate (IS), p-cresyl sulfate (PCS), UN, and Cr in the peritoneum and kidneys and to compare the overall clearances of IS and PCS between non-anuric and anuric groups in PD patients...
August 2012: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/22473037/time-course-of-peritoneal-function-in-automated-and-continuous-peritoneal-dialysis
#19
COMPARATIVE STUDY
Wieneke M Michels, Marion Verduijn, Alena Parikova, Elisabeth W Boeschoten, Dirk G Struijk, Friedo W Dekker, Raymond T Krediet
BACKGROUND AND OBJECTIVES: In automated peritoneal dialysis (APD), a patient's peritoneal membrane is more intensively exposed to fresh dialysate than it is in continuous ambulatory peritoneal dialysis (CAPD). Our aim was to study, in incident peritoneal dialysis (PD) patients, the influence of APD-compared with that of CAPD-on peritoneal transport over 4 years. DESIGN, SETTING, PARTICIPANTS, AND MEASUREMENTS: Patients were included if at least 2 annual standard permeability analyses (SPAs) performed with 3...
November 2012: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/22383633/old-and-new-perspectives-on-peritoneal-dialysis-in-italy-emerging-from-the-peritoneal-dialysis-study-group-census
#20
Giancarlo Marinangeli, Gianfranca Cabiddu, Loris Neri, Giusto Viglino, Roberto Russo, Ugo Teatini
BACKGROUND: To understand how peritoneal dialysis (PD) was being used in Italy in 2005 and 2008, a census of all centers was carried out. METHODS: In 2005 and 2008, data were collected from, respectively, 222 and 223 centers, with respect to 4432 and 4094 prevalent patients. RESULTS: In the two periods, the PD incidence remained stable (24.3% vs 22.9%), varying from center to center. Continuous ambulatory PD (CAPD) was the main initial method (55%), but APD was more widespread among prevalent patients (53%)...
September 2012: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
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