Incremental start to PD as experienced in Italy: results of censuses carried out from 2005 to 2014

Journal of Nephrology
Loris NeriPeritoneal Dialysis Study Group of Italian Society of Nephrology

Abstract

It is not known how widely used in Italy an incremental start to in peritoneal dialysis (Incr-PD) is. By analyzing the peritoneal dialysis (PD) censuses conducted by the PD Study Group (GSDP-SIN) for the years 2005, 2008, 2010, 2012 and 2014 in all the Centers performing PD in Italy, the use of Incr-PD, i.e. continuous ambulatory peritoneal dialysis (CAPD) with 1 or 2 exchanges/day or automated peritoneal dialysis (APD) with 3-4 sessions/week, was examined among incident PD patients. In 2014 PD was started in Italy by 1,652 patients, 455 (27.5%) of whom incrementally (Incr-CAPD 82.2% vs. Incr-APD 17.8%). Incr-PD was used in 53.5% of the 225 Centers. The number of patients and of Centers using Incr-DP increased constantly over the years up to 2012 (in 2005 Incr-PD was used in 33.4% of Centers, and in 11.9% of patients). The use of Incr-PD was greater in Centers with a more extensive PD program and greater use of PD in general. The most widely-used modality in Incr-PD was CAPD. Incr-PD is used in Italy in a large number of incident PD patients. The reasons for this increase need to be clarified, as current adequacy targets are based on full-dose studies with a very low glomerular filtration rate (GFR).

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Citations

May 26, 2018·Journal of Nephrology·Adamasco CupistiLoreto Gesualdo
Apr 21, 2019·Journal of Nephrology·Carlo BasileFilippo Aucella
Aug 10, 2021·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Hao YanJoanne M Bargman

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