Loris Neri1, Giusto Viglino2, Giancarlo Marinangeli3, Anna Rachele Rocca4, Alessandro Laudon5, Antonino Ragusa6, Gianfranca Cabiddu7. 1. Nefrologia, Dialisi e Nutrizione Clinica, Ospedale San Lazzaro, Via Pierino Belli 26Alba, Cuneo, Italy. lorisneri1960@gmail.com. 2. Nefrologia, Dialisi e Nutrizione Clinica, Ospedale San Lazzaro, Via Pierino Belli 26Alba, Cuneo, Italy. 3. Nefrologia e Dialisi, Ospedale Maria SS dello Splendore, Giulianova, Teramo, Italy. 4. Nefrologia e Dialisi, Policlinico Umberto I, Roma, Italy. 5. Nefrologia e Dialisi, Azienda Provinciale Servizi Sanitari, Trento, Italy. 6. Nefrologia e Dialisi, Ospedale San Vincenzo, Taormina, Italy. 7. Nefrologia e Dialisi, Azienda Ospedaliera Brotzu, Cagliari, Italy.
Abstract
BACKGROUND: It is not known how widely used in Italy an incremental start to in peritoneal dialysis (Incr-PD) is. METHODS: By analyzing the peritoneal dialysis (PD) censuses conducted by the PD Study Group (GSDP-SIN) for the years 2005, 2008, 2010, 2012 and 2014 in all the Centers performing PD in Italy, the use of Incr-PD, i.e. continuous ambulatory peritoneal dialysis (CAPD) with 1 or 2 exchanges/day or automated peritoneal dialysis (APD) with 3-4 sessions/week, was examined among incident PD patients. RESULTS: In 2014 PD was started in Italy by 1,652 patients, 455 (27.5%) of whom incrementally (Incr-CAPD 82.2% vs. Incr-APD 17.8%). Incr-PD was used in 53.5% of the 225 Centers. The number of patients and of Centers using Incr-DP increased constantly over the years up to 2012 (in 2005 Incr-PD was used in 33.4% of Centers, and in 11.9% of patients). The use of Incr-PD was greater in Centers with a more extensive PD program and greater use of PD in general. The most widely-used modality in Incr-PD was CAPD. CONCLUSIONS: Incr-PD is used in Italy in a large number of incident PD patients. The reasons for this increase need to be clarified, as current adequacy targets are based on full-dose studies with a very low glomerular filtration rate (GFR).
BACKGROUND: It is not known how widely used in Italy an incremental start to in peritoneal dialysis (Incr-PD) is. METHODS: By analyzing the peritoneal dialysis (PD) censuses conducted by the PD Study Group (GSDP-SIN) for the years 2005, 2008, 2010, 2012 and 2014 in all the Centers performing PD in Italy, the use of Incr-PD, i.e. continuous ambulatory peritoneal dialysis (CAPD) with 1 or 2 exchanges/day or automated peritoneal dialysis (APD) with 3-4 sessions/week, was examined among incident PD patients. RESULTS: In 2014 PD was started in Italy by 1,652 patients, 455 (27.5%) of whom incrementally (Incr-CAPD 82.2% vs. Incr-APD 17.8%). Incr-PD was used in 53.5% of the 225 Centers. The number of patients and of Centers using Incr-DP increased constantly over the years up to 2012 (in 2005 Incr-PD was used in 33.4% of Centers, and in 11.9% of patients). The use of Incr-PD was greater in Centers with a more extensive PD program and greater use of PD in general. The most widely-used modality in Incr-PD was CAPD. CONCLUSIONS: Incr-PD is used in Italy in a large number of incident PD patients. The reasons for this increase need to be clarified, as current adequacy targets are based on full-dose studies with a very low glomerular filtration rate (GFR).
Authors: Maarten A M Jansen; Augustinus A M Hart; Johanna C Korevaar; Friedo W Dekker; Elisabeth W Boeschoten; Raymond T Krediet Journal: Kidney Int Date: 2002-09 Impact factor: 10.612
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