title: [Peritoneal dialysis of substitution: how to evaluate the quality of purification, the criteria of dialysis efficacy].
abstract: Peritoneal dialysis adequacy in the narrowest sense of the world can be evaluated by several indexes. Residual kidney function and caloric protein intake strongly affect the protein metabolism (creatinine, urea) they reflect. The correlation between dialysis adequacy indexes and clinical issue (survival, mortality and morbidity) is rather poor. Each index sets the inferior security limit, but in no way a target to be aimed at. Furthermore, the artificial organ should maintain a normal fluid and electrolyte balance and blood pressure, as performed by the natural kidney. The posology indexes do not materialize this important function. No single indicator can replace clinical evaluation and good sense.
authors.affiliation: Centre de rein artificiel de Tassin.
authors.forename: B
authors.initials: B
authors.lastname: Charra
mesh_terms: D004044:Dietary Proteins / Q000008:administration & dosage; D002149:Energy Intake; D006801:Humans; D007668:Kidney / Q000503:physiopathology; D007676:Kidney Failure, Chronic / Q000401:mortality / Q000503:physiopathology / Q000628:therapy; D009017:Morbidity; D010530:Peritoneal Dialysis; D016896:Treatment Outcome
chemical_list: D004044:Dietary Proteins