2002
DOI: 10.1177/089686080202200206
|View full text |Cite
|
Sign up to set email alerts
|

The Impact of Increasing the Daytime Dialysis Exchange Frequency on Peritoneal Dialysis Adequacy and Nutritional Status of Chinese Anuric Patients

Abstract: ♦ Objective To study the effect of increasing the daytime dialysis exchange frequency on dialysis adequacy and nutritional status of Chinese anuric patients. ♦ Setting University teaching hospital. ♦ Patient 100 anuric patients on continuous ambulatory peritoneal dialysis (CAPD). ♦ Design 50 patients had one additional daytime 2-L exchange (intervention group); the dialysis regimen remained unchanged in the other 50 patients (control group). ♦ Outcome Dialysis adequacy [Kt/V, weekly creatinine clearance (wCCr)… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1

Citation Types

1
4
0

Year Published

2003
2003
2023
2023

Publication Types

Select...
5
4

Relationship

0
9

Authors

Journals

citations
Cited by 14 publications
(5 citation statements)
references
References 25 publications
1
4
0
Order By: Relevance
“…The nPNA was lower in group A but was similar between groups B and C. This finding may suggest that the negative impact of low Kt/V on protein intake was more prominent with Kt/V level below 1.7 in our patients. This is in line with a recent report from Hong Kong showing that improvement in nPNA with increased dialysis prescription in Chinese anuric peritoneal dialysis patients was not seen in patients with Kt/V above 1.9 [24].…”
Section: Discussionsupporting
confidence: 92%
“…The nPNA was lower in group A but was similar between groups B and C. This finding may suggest that the negative impact of low Kt/V on protein intake was more prominent with Kt/V level below 1.7 in our patients. This is in line with a recent report from Hong Kong showing that improvement in nPNA with increased dialysis prescription in Chinese anuric peritoneal dialysis patients was not seen in patients with Kt/V above 1.9 [24].…”
Section: Discussionsupporting
confidence: 92%
“…In 2 clinical trials, however, "more" CAPD was arguably better than "less." In the first, increasing the CAPD dose from 3 to 4 exchanges per day improved dietary protein intake and possibly reduced hospitalization (34,35). In the second, a Kt/V of ≥ 1.7 resulted in significantly better outcomes for patients than a Kt/V of < 1.7 (30).…”
mentioning
confidence: 99%
“…In several single-center cohort studies, outcomes on 3 times 2-L exchanges per day appear to be satisfactory (22,23,2933), albeit often in the presence of considerable residual renal function (22) or in the first 48 months after dialysis inception (32). In 2 clinical trials, however, “more” CAPD was arguably better than “less.” In the first, increasing the CAPD dose from 3 to 4 exchanges per day improved dietary protein intake and possibly reduced hospitalization (34,35). In the second, a Kt/V of ≥ 1.7 resulted in significantly better outcomes for patients than a Kt/V of < 1.7 (30).…”
mentioning
confidence: 99%
“…Unfortunately, it is still uncertain what the adequate Kt/V is for our PD patients (4). Based on ADEMEX (ADEquacy of PD in MEXico) and a series of other studies (5-11), several guidelines set a minimum target for small solute clearance of Kt/V urea at 1.70 (12,13), but the guidelines also mention that when these targets cannot be met, targets should be balanced against potential side effects, the patient's lifestyle, and cost considerations. The present study added more evidence to this notion.…”
Section: Discussionmentioning
confidence: 99%