Update on Peritoneal Dialysis: Core Curriculum 2016

Published:September 13, 2015DOI:
      Peritoneal dialysis (PD) is the major established form of renal replacement therapy that is performed primarily at home. Until recently, the prevalent rate of PD patients in the United States was declining, reaching a low of 6.9% in 2009. Since then, there has been a striking increase in PD use, with a prevalence rate of 9.7% in 2014. Consequently, since the original Core Curriculum on PD (from Teitelbaum and Burkart) was published in 2003, there has been a commensurate growth in information on the subject. This update focuses on relevant topics in the field, as outlined in Box 1.
      Update on Peritoneal Dialysis
      • Epidemiology
      • Outcomes in peritoneal dialysis
      • Peritoneal dialysis access
      • Peritoneal dialysis solutions
        • Conventional solutions
        • Glucose-sparing solutions
          • Icodextrin
          • Amino acid
        • Neutral-pH, low-GDP solutions
      • Adequacy of peritoneal dialysis
        • Concept of adequate dialysis
        • Adequacy
      • Prescription options
      • Volume management
      • Complications
        • Infectious complications
          • Exit-site and tunnel infections
          • Peritonitis
        • Noninfectious complications
          • Peritoneal membrane changes
          • Ultrafiltration failure
          • Encapsulating peritoneal sclerosis
          • Future directions
      • New frontiers
        • Urgent-start peritoneal dialysis
        • Peritoneal dialysis for AKI
      Abbreviations: AKI, acute kidney injury; GDP, glucose degradation product.
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