Peritoneal dialysis in children

Warady, Bradley A.; Alexander, Steven R.; Balfe, J. Williamson; Harvey, EA

doi:10.1007/978-94-017-3225-3_22

Cited by 8 publications

(10 citation statements)

References 253 publications

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“…This caused skin erosion, which ended up in exit-site infection. To circumvent this, singlecuff catheters were used, but they were associated with peritonitis [3,4]. When faced with such cuff extrusion, it was found that by placing the superficial cuff deeper to the aponeurosis the complications were avoided, as the skin-tocuff distance was greater.…”

Section: Discussionmentioning

confidence: 98%

Modified technique of continuous ambulatory peritoneal dialysis catheter insertion in the pediatric population

Rajan

Vikram

Murali

et al. 2014

Journal of Pediatric Urology

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Section: Discussionmentioning

confidence: 98%

Modified technique of continuous ambulatory peritoneal dialysis catheter insertion in the pediatric population

Rajan

Vikram

Murali

et al. 2014

Journal of Pediatric Urology

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“…The number of patients primarily undergoing APD was only 38 (7.4%), and overall 35.1% of the patients were treated with APD, including switched patients from CAPD to APD. However, it is very well stated that APD has been recommended as the first line PD modality for children [2,3,9,11]. The recent NAPRTCS report documented that 69% of CPD patients were on APD [6].…”

Section: Discussionmentioning

confidence: 99%

“…After the well-established clinical application of CAPD in all age groups including neonates, automated peritoneal dialysis (APD)-considered the first-choice CPD modality for pediatric patients-was instituted in Turkey. In spite of the fact that APD has become the most frequently preferred dialysis modality in children [1,2,3], a minority of pediatric patients could be treated with APD in our country due to the insufficiencies in technique service facilities and educated health staff, and financial problems.…”

Section: Introductionmentioning

confidence: 93%

“…Although continuous ambulatory peritoneal dialysis (CAPD) was first used in a child in 1978 in Toronto and soon became available in other pediatric dialysis programs in North America and Western Europe [2], it took until 1989 for it to be first prescribed for pediatric patients in Turkey. During the following years, the number of pediatric cases increased rapidly.…”

Section: Introductionmentioning

confidence: 99%

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Chronic peritoneal dialysis in Turkish children: a multicenter study

et al. 2005

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Chronic peritoneal dialysis (CPD) has been utilized in the treatment of children since 1989 in Turkey. The aims of this study were to summarize our experience with CPD in children and to establish a pediatric registry data system in Turkey. Standard questionnaires were sent to all pediatric CPD centers. 514 patients treated between 1989 and 2002 in 12 pediatric centers were enrolled in the study. Reflux nephropathy was the most common (18.1%) cause of renal failure. Mean age at dialysis initiation was 10.1+/-4.6 years. Mean duration of dialysis was 24.1+/-20.5 months. Continuous ambulatory peritoneal dialysis (CAPD) was the first CPD modality for 476 (92.6%) patients, 142 of whom switched to automated peritoneal dialysis (APD) during follow-up. Currently, 47.3% of the patients are still on CPD, 15.4% were transplanted, 13.2% switched to hemodialysis, 16.7% died. The patient and technique survivals were 90% and 95% at one year and 70% and 69% at five years, respectively. The survival was significantly shorter in the youngest age group (0-24 months) compared to those in older age groups (p=0.000). We herein report the first results of the TUPEPD study providing information on demographic data and survival of pediatric CPD patients. As opposed to clear recommendations in favor of APD, there is a clear preponderance of CAPD in our pediatric CPD population. That vesicoureteral reflux (VUR) is still the leading cause of renal failure is a distressing finding. Remarkably lower survival rates and transplantation ratios are as striking and distressing as the high incidence of VUR among the causes of ESRD. We conclude that we must make a great effort to achieve better results and to change these undesirable events.

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“…Others have recommended that APD should be the first choice for [2] in TUPEPD data. *Starting CPD by year 1989, the last 2 months, **starting CPD by year 2002, the first 7 months PD in children [5][6][7][8]. The 2007 NAPRTCS report said that of children on CPD, 68% were on APD, 21% on CAPD, 7% were on intermittent PD, and 4% were unknown [9].…”

Section: Patient Demographics and Choice Of Dialysis Modalitymentioning

confidence: 99%

Challenges in pediatric peritoneal dialysis in Turkey

et al. 2008

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Chronic peritoneal dialysis (CPD) is the modality of choice for children with end-stage renal disease in Turkey. CPD was first instituted in 1989 in Turkish pediatric patients by using imported basic equipment and solutions since then the number of patients on CPD increased gradually. Parallel to the developments in the PD industry, in 2002, the Turkish Pediatric Nephrology Association established the Turkish Pediatric Peritoneal Dialysis (TUPEPD) Study Group to study peritoneal dialysis in children and adolescents. Today in Turkey, almost all of the PD equipment and PD solutions are available. Turkish pediatric nephrologists now have a significant experience with PD. Physicians, parents, and the children prefer to start with CPD because of its advantages, such as a more liberal social life and better school attendance.

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Peritoneal dialysis in children

Cited by 8 publications

References 253 publications

Modified technique of continuous ambulatory peritoneal dialysis catheter insertion in the pediatric population

Modified technique of continuous ambulatory peritoneal dialysis catheter insertion in the pediatric population

Chronic peritoneal dialysis in Turkish children: a multicenter study

Challenges in pediatric peritoneal dialysis in Turkey

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