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Is capd better than apd

Wael El-Reshaid, Hanan Al-Disawy, Hossameldeen Nassef, Usama Alhelaly
Peritonitis is a common complication in patients undergoing continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD). In this retrospective study, peritonitis rates and patient survival of 180 patients on CAPD and 128 patients on APD were compared in the period from January 2005 to December 2014 at Al-Nafisi Center in Kuwait. All patients had prophylactic topical mupirocin at catheter exit site. Patients on CAPD had twin bag system with Y transfer set. The peritonitis rates were 1 in 29 months in CAPD and 1 in 38 months in APD (p < 0...
September 2016: Renal Failure
Hee-Yeon Jung, Hye Min Jang, Yang Wook Kim, Seong Cho, Hye-Young Kim, Sung-Ho Kim, Kitae Bang, Hyun Woo Kim, So Young Lee, Sang Kyung Jo, Jonghyo Lee, Ji-Young Choi, Jang-Hee Cho, Sun-Hee Park, Chan-Duck Kim, Yong-Lim Kim
Health-related quality of life (HRQOL) is an important clinical outcome for dialysis patients. However, relative superiority in HRQOL between automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD) are not clearly known. We compared HRQOL over time between APD and CAPD patients and evaluated factors associated with HRQOL.All 260 incident patients initiating APD or CAPD at multiple centers throughout Korea were prospectively enrolled in this study between October 2010 and February 2013...
May 2016: Medicine (Baltimore)
Konstadina Griva, Zhenli Yu, Sally Chan, Thanaletchumi Krisnasamy, Ruyani Bte Abu Yamin, Faezah Bte Zakaria, Sin Yan Wu, Elizabeth Oei, Marjorie Foo
AIM: To compare Quality of Life, anxiety and depression between older (≥65 years) and younger (<65 years) patients across automated peritoneal dialysis and continuous ambulatory peritoneal dialysis. BACKGROUND: There is a lack of studies as to whether the different peritoneal dialysis modalities confer similar outcomes in older and younger patients. DESIGN: Cross-sectional. METHODS: A total of 201 patients completed the Kidney Disease Quality of Life Short-Form, World Health Organization Quality of Life Instrument, Short Form and Hospital Anxiety and Depression Scale...
August 2014: Journal of Advanced Nursing
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
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
Anthony T Cacace, Dennis J McFarland
BACKGROUND: Tests of auditory perception, such as those used in the assessment of central auditory processing disorders ([C]APDs), represent a domain in audiological assessment where measurement of this theoretical construct is often confounded by nonauditory abilities due to methodological shortcomings. These confounds include the effects of cognitive variables such as memory and attention and suboptimal testing paradigms, including the use of verbal reproduction as a form of response selection...
July 2013: Journal of the American Academy of Audiology
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
Hidetomo Nakamoto
According to a nationwide statistical survey in Japan, only 9,858 patients (3.3% of dialysis patients) were on maintenance peritoneal dialysis (PD) at the end of 2009. In this survey, 8,635 patients answered questions about the PD method, while 1,223 patients did not respond. In Japan, at the end of 2009, 5,143 patients (59.6%) on PD were treated with CAPD and 3,492 patients (40.4%) on PD were treated with automated PD (APD). It is well known that around 20% of Japanese PD patients choose to apply and maintain PD + HD combination therapy...
2012: Contributions to Nephrology
Teri James Bellis, Jody Ross
BACKGROUND: It has been suggested that, in order to validate a diagnosis of (C)APD (central auditory processing disorder), testing using direct cross-modal analogs should be performed to demonstrate that deficits exist solely or primarily in the auditory modality (McFarland and Cacace, 1995; Cacace and McFarland, 2005). This modality-specific viewpoint is controversial and not universally accepted (American Speech-Language-Hearing Association [ASHA], 2005; Musiek et al, 2005). Further, no such analogs have been developed to date, and neither the feasibility of such testing in normally functioning individuals nor the concurrent validity of cross-modal analogs has been established...
September 2011: Journal of the American Academy of Audiology
Wieneke M Michels, Sandra van Dijk, Marion Verduijn, Saskia le Cessie, Elisabeth W Boeschoten, Friedo W Dekker, Raymond T Krediet
OBJECTIVE: Despite a lack of strong evidence, automated peritoneal dialysis (APD) is often prescribed on account of an expected better quality of life (QoL) than that expected with continuous ambulatory peritoneal dialysis (CAPD). Our aim was to analyze differences in QoL in patients starting dialysis on APD or on CAPD with a follow-up of 3 years. METHODS: Adult patients in the prospective NECOSAD cohort who started dialysis on APD or CAPD were included 3 months after the start of dialysis...
March 2011: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Chiao-Yin Sun, Chin-Chan Lee, Yu-Yin Lin, Mai-Szu Wu
BACKGROUND: In the U.S. Renal Data System registry, technique and patient survival are similar with automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD). The clinical outcomes of APD and CAPD in various age groups have not been clarified. OBJECTIVES: We investigated whether patient and technique survival are different for incident dialysis patients treated with APD or CAPD in two age groups. METHODS: Our retrospective study of prospectively collected data included 282 incident peritoneal dialysis (PD) patients (161 on APD, 121 on CAPD)...
May 2011: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Maria Roszkowska-Blaim, Piotr Skrzypczyk, Dorota Drozdz, Jacek A Pietrzyk
Our study assessed the influence of mode of dialysis [continuous ambulatory peritoneal dialysis (CAPD) or automated peritoneal dialysis (APD)] on residual renal function (RRF). The study retrospectively examined 30 children [15 on CAPD, mean age: 8.85 +/- 5.15 years; and 15 on APD, mean age: 10.17 +/- 3.63 years (nonsignificant)], followed for at least 12 months, for whom these methods were initial mode of treatment. Arterial hypertension was found in 80% of the children on CAPD and in 67% on APD. Parameters that were analyzed included 24-hour urine output; residual glomerular filtration rate (GFR); adequacy based on total weekly Kt/V urea and creatinine clearance; and hemoglobin, total protein, serum albumin, daily proteinuria, medications used, and causes of end-stage renal disease...
2009: Advances in Peritoneal Dialysis
R Dell'Aquila, G Berlingò, M V Pellanda, A Contestabile
The proportion of peritoneal dialysis (PD) patients on automated peritoneal dialysis (APD) has been steadily increasing over the past decade. In the US, the percentage of PD patients on APD has steadily risen from 9% in 1993 to 54% in 2000. In continuous ambulatory peritoneal dialysis (CAPD), PD exchanges are performed manually, while in APD a mechanical device to assist the delivery and drainage of dialysate is employed. In CAPD, the patient or carer must perform at least 4-5 exchanges everyday. Many problems inherent to CAPD such as lack of sustained patient motivation over long periods of time, technique failure and recurrent peritonitis, led to a resurgence of interest in APD...
2009: Contributions to Nephrology
Rajnish Mehrotra
In many parts of the world, a progressively larger proportion of chronic peritoneal dialysis (PD) patients are being treated with automated PD (APD). Increasingly, the decision to use APD is being dictated by patient and physician preference rather than being based on medical considerations. It is important to determine if the PD modality has any effect on long-term patient outcomes. Studies examining the effects of APD on residual renal function have been inconsistent, and the effect of cycler use on native renal clearances, if any, is small and probably not clinically significant...
February 2009: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Philip Kam-Tao Li, Kwok Yi Chung, Kai Ming Chow
This article examines the roles of continuous ambulatory peritoneal dialysis (CAPD) versus automated peritoneal dialysis (APD) as first-line renal replacement therapy. To date, no high-quality large-scale randomized controlled studies have compared CAPD with APD as first-line therapy. However, a discussion on this issue is important so that nephrologists can decide and patients can have a choice of modality on which to start dialysis, especially in the context of health care economics. We review the literature and present Hong Kong as the model of a "CAPD first" policy, an appealing, cost-effective approach for any country...
June 2007: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
A Vychytil, W H Hörl
Tidal peritoneal dialysis (TPD) has been introduced to optimize adequacy of peritoneal dialysis (PD). Early studies reported similar or even better small solute clearances with TPD than those achieved with continuous ambulatory peritoneal dialysis or continuous cyclic peritoneal dialysis. However, in many studies treatment volumes were much higher during TPD compared with other PD modalities. Based on current evidence, TPD provides no advantage of increased small solute clearances, middle molecule clearances, or peritoneal ultrafiltration as compared to non-tidal automated peritoneal dialysis (APD) when dialysate flow is kept constant...
November 2006: Kidney International. Supplement
Mirjana Lausević, Vidosava Nesić, Natasa Jovanović, Biljana Stojimirović
A normocytic normochromic anemia is one of the first signs of renal failure. Since anemia increases morbidity and mortality, its elimination is one of the essential objectives of the treatment. Human recombinant erythropoietin (rHuEPO) has changed the therapeutical approach to anemia. The aim of the present study was to compare efficacy of anemia correction in peritoneal dialysis patients depending on treatment and dialysis modality. The study is the retrospective analysis of 64 patients who presented to our Clinic in 2003...
March 2006: Srpski Arhiv za Celokupno Lekarstvo
Andreas Vychytil
Automated peritoneal dialysis (APD) is an important treatment option in PD patients with high peritoneal transport rates, in patients with inadequate small-solute clearances during continuous ambulatory peritoneal dialysis (CAPD) treatment, and in patients with complications associated with high intraperitoneal pressure. Because APD offers better flexibility during the daytime, patients often have a better quality of life and are able to go to work or school. However, APD is more expensive and technically more complex than CAPD and there are controversial results on the course of residual renal function and the risk of peritonitis in the two types of treatment...
2005: Wiener Klinische Wochenschrift
Peter H Juergensen, Nancy Gorban-Brennan, Fredric O Finkelstein
Noncompliance (NC) with the dialysis prescription has been described as a common problem in dialysis patients. In previous studies, NC in peritoneal dialysis (PD) patients has been assessed by obtaining patient or family histories, using questionnaires, and making home visits. With the use of the HomeChoice Pro Chip Card (PCC: Baxter Healthcare Corporation, Deerfield, IL, U.S.A.), the dialysis staff can monitor the total volume of dialysate used, the frequency of exchanges, and the duration of dialysis in patients maintained on automated peritoneal dialysis (APD)...
2004: Advances in Peritoneal Dialysis
David Kavanagh, Gordon J Prescott, Robert A Mactier
BACKGROUND: Peritonitis is a major complication of peritoneal dialysis (PD). We have performed a national study of all patients on PD in Scotland over a 3.5 year period examining the causes of technique failure, rates of peritonitis, causative organisms, clinical outcomes and differences between automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD). METHODS: All 10 adult renal units in Scotland participated in the study and the data include all 1205 patients who were on PD in Scotland from January 1999 to June 2002...
October 2004: Nephrology, Dialysis, Transplantation
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