Historical Milestones in Peritoneal Dialysis

Misra, Madhukar; Phadke, Gautam

doi:10.1159/000496301

Cited by 7 publications

(8 citation statements)

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“…Peritoneal dialysis (PD), ever since its conceptualization as a potential method of uremic toxins removal, has endured a turbulent course. [1][2][3] After the initial success in treating acute kidney failure in the 1940s 4 , the use of PD gained traction in the treatment of End-Stage Kidney Disease (ESKD) in the 1960s. [5][6][7] But the concerns about the high incidence of peritonitis, technique failure, and higher mortality compared to hemodialysis (HD) led to a steady decline in the prevalence of PD after peaking in mid 1990s.…”

Section: Introductionmentioning

confidence: 99%

The Role of Peritoneal Dialysis in Different Phases of Kidney Transplantation

2022

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The utilization of Peritoneal Dialysis (PD) has been increasing in the past decade owing to various government initiatives and recognition of benefits like better preservation of residual renal function, quality of life, and lower cost. The Advancing American Kidney Health initiative aims to increase the utilization of home therapies like PD and kidney transplantation to treat end-stage kidney disease (ESKD). A natural consequence of this development is that more patients will do PD, and many will eventually undergo kidney transplantation. Therefore, it is important to understand the effect of pre-transplant PD on post-transplant outcomes like delayed graft function (DGF), rejection, thrombosis, graft, and patient survival. Furthermore, some of these patients may develop DGF, which raises the question of the utility of PD during DGF and its risks. While transplant is the best renal replacement therapy option, it is not everlasting, and many transplant recipients must go on dialysis after allograft failure. Can PD be a good option for these patients? This is another critical question. Furthermore, a significant proportion of non-renal solid organ transplant recipients develop ESKD. Is PD feasible in this group? In this review, we try to address all of these questions in the light of available evidence.

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Section: Introductionmentioning

confidence: 99%

The Role of Peritoneal Dialysis in Different Phases of Kidney Transplantation

2022

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“…The Tenckhoff catheter, introduced in 1968, enabled the establishment of the first continuous ambulatory PD (CAPD) programme based in Toronto in 1978. 1,2…”

Section: Introductionmentioning

confidence: 99%

“…The Tenckhoff catheter, introduced in 1968, enabled the establishment of the first continuous ambulatory PD (CAPD) programme based in Toronto in 1978. 1,2 PD was initially delivered using two one-litre glass bottles with a long disposable transfer set, 3 with each exchange involving a large number of steps. The high risk of infections (typically one every three months), inadequate clearance of small solutes and deterioration of peritoneum resulting in ultrafiltration failure adversely impacted the reputation of CAPD and this was compounded by an association with encapsulating peritoneal sclerosis.…”

Section: Introductionmentioning

confidence: 99%

Peritoneal dialysis in the modern era

Karkar¹,

Wilkie

2022

Perit Dial Int

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The practice and clinical outcomes of peritoneal dialysis (PD) have demonstrated significant improvement over the past 20 years. The aim of this review is to increase awareness and update healthcare professionals on current PD practice, especially with respect to patient and technique survival, patient modality selection, pathways onto PD, understanding patient experience of care and use prior to kidney transplantation. These improvements have been impacted, at least in part, by greater emphasis on shared decision-making in dialysis modality selection, the use of advanced laparoscopic techniques for PD catheter implantation, developments in PD connecting systems, glucose-sparing strategies, and modernising technology in managing automated PD patients remotely. Evidence-based clinical guidelines such as those prepared by national and international societies such as the International Society of PD have contributed to improved PD practice underpinned by a recognition of the place of continuous quality improvement processes.

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“…In the early years before the discovery of the PD catheter, also known as the “Tenckhoff catheter,” in 1968 by Henry Tenckhoff, there was no specific device for PD. [ 1 2 ] Instead, the instruments used in general surgery and urology were used as peritoneal access. Foley catheters, mushroom-tip catheters, whistle-tip catheters, polyethylene tubes, simple soft rubber tubes with or without side holes, stainless steel sump drains, and even glass drains were tried as peritoneal access, without satisfactory long-term outcomes.…”

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confidence: 99%

Straight versus coiled peritoneal dialysis catheter: Conclusion is not straightforward

Prasad

2022

Indian J Nephrol

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Historical Milestones in Peritoneal Dialysis

Cited by 7 publications

References 0 publications

The Role of Peritoneal Dialysis in Different Phases of Kidney Transplantation

The Role of Peritoneal Dialysis in Different Phases of Kidney Transplantation

Peritoneal dialysis in the modern era

Straight versus coiled peritoneal dialysis catheter: Conclusion is not straightforward

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