The role of peritoneal dialysis in renal replacement therapy: an update on medical aspects.
In this brief review, we discuss various medical factors that are of importance for the role of peritoneal dialysis (PD) in renal replacement therapy (RRT), whereas the complex role of non medical factors will only be mentioned briefly. The aim of any RRT, including hemodialysis, PD and renal transplantation, is to normalize the volume and composition of the body fluids, to remove uremic toxins, and to improve clinical outcome. In the following, we will focus on adequacy, preservation of residual renal function, fluid balance, infections, nutrition, cardiovascular disease and systemic inflammation in PD as these factors are strong predictors of clinical outcome in end stage renal disease patients.
Yao
Q
Q
Division of Baxter Novum, Department of Clinical Sciences, Karolinska Institutet, Huddinge University Hospital, Stockholm, Sweden.
Wang
X
X
Chung
S H
SH
Pecoits-Filho
R
R
Stenvinkel
P
P
Wang
T
T
Heimbürger
O
O
Lindholm
B
B
D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010530:Peritoneal Dialysis; D017582:Renal Replacement Therapy