By Richard N. Fine (ed.), Steven R. Alexander (ed.), Bradley A. Warady (ed.)
During the previous region century there was a renaissance of curiosity within the use of peritoneal dialysis because the basic dialytic modality for the therapy of youngsters with end-stage renal ailment (ESRD). the improvement of continuing ambulatory peritoneal dialysis (APD) has facilitated the supply of lengthy dialysis to babies, childrens and teens and has supplied pediatric nephrologists world wide with a true chance to manage powerful dialysis remedy to all sufferers troubled with ESRD.
it's been greater than a decade because the preliminary ebook of CAPD/CCPD in Children. at the moment, loads of scientific adventure with sufferers receiving peritoneal dialysis has been gathered and study efforts have considerably elevated our knowing of the method. consequently, we felt moment version of CAPD/CCPD in Children was once propitious to replace the advances of the earlier decade.
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Additional info for CAPD/CCPD in Children
The proportion of pediatric patients remaining on PD for more than 5 years rose from 11% in 1991 to 21% in 1995. 9 Higher transplantation rates have been reported from the USA and Europe. 13 ,5 Since the rate of cadavaric renal transplantation remains low in Japan, the number of children receiving long-term PD will no doubt increase further, presenting an opportunity to study the long-term effects of PD in children. 46 The present study showed that patient survival was worse in children <6 years old.
23 in older ones. Causes of peritoneal catheter removal in 305 cases in which the causes were reported are shown in Table 11. ) were seen more often in older children (see Table 11). ••.. •• 80% .. • -'. 93 .......... 55 60% •...... • 26 39 40% 26 years (n=286) .... ---~---. o 2 4 6 8 Years Figure 1: Catheter survival rate in children <6 years old vs. children >/=6 years. 43 Catheter Survival 100% . ••. ••• 80% Double Cuff (n=315) '~ 71 ••• 60% . ~ ••• •. ~. -..... 40% ....... 16 Single Cuff (n=144) 20% ...................
All these factors explain why, after a decade of expansion, the spread of PD has generally been limited in the EDT A member countries over the last 5 years, and further growth is 31 difficult to predict. in many EDT A countries, younger children may not yet be receiving treatment, and PD is generally preferred to HD in this age group. Moreover, the psychosocial aspects of home dialysis and the availability of smaller cyclers may well begin to change the minds of those favoring HD and the change will perhaps be patientled.
CAPD/CCPD in Children by Richard N. Fine (ed.), Steven R. Alexander (ed.), Bradley A. Warady (ed.)