title: [Incremental peritoneal dialysis - no].
abstract: The incremental approach to peritoneal dialysis provides reduced dialytic purification by an intermittent schedule maintaining the total solute clearance above the minimal targets, even if they have not been validated as adequacy targets for intermittent treatments. The early initiation of peritoneal dialysis (GFR >8 mL/min 1.73 m²) has been demonstrated not to be useful to improve patient survival. Standard initiation of dialysis (GFR 5-7 mL/min 1.73 m²) using the incremental modality implies a loss of dialysis clearance that is likely to have an effect on-often asymptomatic-cardiovascular disease. There is no scientific evidence that incremental peritoneal dialysis helps to preserve residual renal function or the peritoneal membrane nor that it reduces the peritonitis rate or complications due to uremia. The central role of the extent of residual renal function regarding the prescription of incremental peritoneal dialysis and the usual procedures for its assessment set the stage for possible underdialysis, even for short periods.
authors: Servizio di Nefrologia e Dialisi, Ospedale di Camposampiero, Camposampiero (PD) - Italy. virgolino14@libero.it
authors: Giovambattista
authors: G
authors: Virga
mesh_terms: D006801:Humans; D010530:Peritoneal Dialysis / Q000009:adverse effects / Q000379:methods*