Continuous ambulatory peritoneal dialysis in insulin-dependent diabetic patients: A 40-month experience

Rottembourg, Jacques; Shahat, Y. El; Agrafiotis, Athanasios; Thuillier, Y; Groc, F. de; Jacobs, C; Legrain, M

doi:10.1038/ki.1983.8

Cited by 62 publications

(18 citation statements)

References 14 publications

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“…At least one recent report shows the short-term survival for patients undertaking CAPD to be equivalent to that for patients undertaking hemodialy sis [42] and further supports the increasing recent enthu siasm for chronic PD. Our experience with diabetic pa tients confirms that overall prognosis tends to be worse [43][44][45][46][47], that I PD does not appear to improve survival, and that it is probably worthwhile to try to place such patients on CAPD [44][45][46][47] when practical for patient and family.…”

Section: Discussionmentioning

confidence: 69%

Chronic Peritoneal Dialysis: Mechanical and Infectious Complications

Swartz¹

1985

Nephron

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The present report summarizes the mechanical and infectious complications attributable to the devices and procedures used for chronic peritoneal dialysis (PD), comparing the type and frequency of such complications in contemporaneous groups of patients undergoing continuous ambulatory PD (CAPD) or intermittent PD (IPD). Mechanical complications related directly to the catheter and its placement proved to be equally frequent during CAPD and IPD. On the other hand, mechanical complications related to increased intraperitoneal pressure were more frequent during CAPD. In most instances mechanical complication can be managed without permanent interruption of chronic PD. Peritonitis occurs more frequently during CAPD (1.6 episodes per patient-year) than during IPD (0.4 episodes per patient-year), with a tendency to more frequent peritonitis among diabetics, children, patients with white blood cell abnormalities, patients with catheter cuff or tunnel inflammation, and during the 1st month of treatment. Medical therapy eradicates peritonitis and allows continuation of chronic PD with retention of the catheter in more than 90% of episodes, although special problems may be encountered with fungal, pseudomonal, and some coagulase-positive staphylococcal infections.

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Section: Discussionmentioning

confidence: 69%

Chronic Peritoneal Dialysis: Mechanical and Infectious Complications

Swartz¹

1985

Nephron

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“…Our experience, as well as others [20][21][22], suggests that this mode of treatment in diabetic patients may be asso ciated with a survival superior to hemodialysis. Nev ertheless, it is unfortunate that the prevalence of some form of home dialysis has not increased faster in this country [23].…”

Section: Discussionmentioning

confidence: 85%

Survival in a Community Hospital Dialysis Center

Walker

Grove

1988

Am J Nephrol

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The survival experience of 213 patients with end-stage renal disease treated over a 10-year period in a community hospital dialysis center is the focus of the study. Statistical assessments of the effects of risk factors and alternative treatment modalities on patient survival are made using survival functions and proportional hazards regression models. Comparisons of the data base and the main results with those of previous published reports are presented. A key result is our finding of improved survival since the introduction of a continuous ambulatory peritoneal dialysis program in 1980. This result is discussed in some detail.

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“…Advantages of CAPD over IPD for the uremic dia betic have been emphasized in several series of 20-50 patients treated by CAPD [10,42,[46][47][48]. Desirable fea tures of CAPD therapy in diabetic nephropathy include the maintenance of a steady-state extracellular volume, resulting in easier control of blood pressure, sometimes without antihypertensive medications, while simultane ously enabling satisfactory blood glucose regulation by intraperitoneal administration of insulin in dialysate [20].…”

Section: Peritoneal Dialysismentioning

confidence: 99%