Adequacy of peritoneal dialysis and the importance of preserving residual renal function.
The well-being and survival of dialysis patients not only depend on the removal of waste products and excess fluid, but also on the prevention of cardiovascular complications by maintaining normovolaemia and adequate blood pressure and avoidance of ectopic calcification. Also, the maintenance of nutritional status and adequate removal of middle molecules are amongst the most important issues in long-term renal replacement therapy. In this review, attention is given to optimal peritoneal small solute clearance and Kt/V and to the evidence concerning the role of residual renal function. In addition, factors that can influence this residual function are also discussed.
van den Wall Bake
A W L
AW
Maxima Medisch Centrum, Dialysis Department, De Run 4600, 5504 DB Veldhoven, The Netherlands. A.vandenwallbake@mmc.nl
Kooman
J P
JP
Lange
J M
JM
Smit
W
W
D003404:Creatinine / Q000378:metabolism; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D007674:Kidney Diseases / Q000503:physiopathology / Q000628:therapy*; D007677:Kidney Function Tests; D008657:Metabolic Clearance Rate; D009752:Nutritional Status; D010530:Peritoneal Dialysis; D011785:Quality Assurance, Health Care
D003404:Creatinine