Adequacy in peritoneal dialysis: Is it essential to monitor

Akansha Agrawal , Sandeep Mahajan
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Abstract

Peritoneal dialysis unlike hemodialysis has a number of factors which affect the dialysis delivery and hence influence the outcome. Assessment of adequacy of dialysis therefore has an important role in managing these patients and providing appropriate PD prescription. Like in hemodialysis patients majority of studies and guidelines recommend small-solute clearances as marker of PD adequacy. However, the outcome in these patients has not been consistently linked to small-solute clearance and therefore adequacy assessment should be performed in a holistic manner, with due importance given to clinical examination, quality of life assessment and biochemical parameters in addition to measurement of solute clearances.

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腹膜透析的充分性:是否需要监测
腹膜透析与血液透析不同,有许多因素影响透析输送,从而影响结果。因此,透析充分性评估在管理这些患者和提供适当的PD处方方面具有重要作用。像血液透析患者一样,大多数研究和指南推荐小溶质清除率作为PD充分性的标志。然而,这些患者的结果与小溶质清除率并没有一致的联系,因此应该以整体的方式进行充分性评估,除了溶质清除率的测量外,还应适当重视临床检查、生活质量评估和生化参数。
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