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Incremental peritoneal dialysis is a safe and feasible prescription in incident patients with preserved residual kidney function

Nephrology Aug 19, 2021

Huang LL, Mah JY, Howard J, et al. - Incremental peritoneal dialysis (PD) affords a goal-directed initial prescription that is feasible too in patients with residual kidney function and affords comparable peritonitis rates and technique survival.

  • A retrospective cohort study of incident PD patients at Eastern Health between 2015–2019.

  • This study did not include patients who stopped PD within 30 days.

  • Total 96 patients were included, 54 with incremental PD.

  • Incremental PD patients, vs full-dose PD, were more likely to be female, had less comorbid diabetes and higher residual kidney function.

  • Incremental PD not only exposed to lower exchange volumes, glucose load but also granted a longer peritonitis-free survival.

  • Older age and higher starting eGFR were predictors for longer incremental PD.

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