Literature DB >> 18187940

Peritoneal membrane evaluation in routine clinical practice.

Anabela S Rodrigues1, Sandra Silva, Fernanda Bravo, Jose C Oliveira, Isabel Fonseca, Antonio Cabrita, Raymond T Krediet.   

Abstract

BACKGROUND/AIMS: Establishment of reference values for small solute transport, sodium sieving and effluent CA125 with 3.86% (4 h) peritoneal equilibration test (PET), and comparison with fast-fast PET with regard to small solute transport categories.
METHODS: Cross-sectional study; 69 prevalent patients. Sodium sieving corrected for sodium diffusion with a formula applicable to the PET. CA125 appearance rate (AR) was measured. Expected and observed 60 min D/P(creatinine) were compared by Bland and Altman.
RESULTS: Means (95% CI): D/P(creatinine) 0.73 (0.70-0.76), MTAC(creatinine) 9.6 (8.4-10.9) ml/min, D/D0 glucose 0.30 (0.28-0.31), corrected dip 0.17 (0.15-0.18), CA125 150 (125-176) U/min. Both corrected and uncorrected sodium sieving were informative. Peritoneal transport was faster at 60 min dwell. UFF patients presented very low corrected dip and CA125 AR.
CONCLUSION: 3.86% (4 h) PET provided results similar to those from SPA. Correction for diffusion of sodium sieving is dispensable for simple clinical evaluations. D/P(creatinine) at 60 min overestimated small solute transport rate. Effluent CA125 was consistently lower in UFF patients. 2008 S. Karger AG, Basel

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Year:  2008        PMID: 18187940     DOI: 10.1159/000113009

Source DB:  PubMed          Journal:  Blood Purif        ISSN: 0253-5068            Impact factor:   2.614


  3 in total

1.  Two-in-one protocol: simultaneous small-pore and ultrasmall-pore peritoneal transport quantification.

Authors:  Ana Paula Bernardo; M Auxiliadora Bajo; Olivia Santos; Gloria del Peso; Maria João Carvalho; António Cabrita; Rafael Selgas; Anabela Rodrigues
Journal:  Perit Dial Int       Date:  2012-03-01       Impact factor: 1.756

2.  Previous renal replacement therapy time at start of peritoneal dialysis independently impact on peritoneal membrane ultrafiltration failure.

Authors:  Luís Oliveira; Anabela Rodrigues
Journal:  Int J Nephrol       Date:  2011-09-29

3.  Peritoneal function in clinical practice: the importance of follow-up and its measurement in patients. Recommendations for patient information and measurement of peritoneal function.

Authors:  Annemieke M Coester; Watske Smit; Dirk G Struijk; Raymond T Krediet
Journal:  NDT Plus       Date:  2009-01-15
  3 in total

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