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Acta
Medica Medianae
Contact:
Copyright 2004 by Faculty of Medicine, University of Nis |
PERITONEAL DIALYSIS: FROM ALTERNATIVE TO CONCEPT OF INTEGRATED END-STAGE RENAL DISEASE PATIENT’S CARE
Marina Avramović
Institute of nephrology and Hemodialises
In the last 30 years peritoneal dialysis win the position in end-stage renal disease care. The numerous technical improvements were done: new types of peritoneal catheters were introduced, new dialysis systems, connecting devices, but also biocompatible dialysis solutions and machines for peritoneal dialysis-cyclers. The improved dialysis technique led to significant decline in incidence of peritonitis, as the most common complication on peritoneal dialysis. The attention is then directed to achievement of adequate peritoneal dialysis and improvement in quality of life. After that, all the propositions were made for peritoneal dialysis to be integrated in end-stage renal disease patient’s care. Peritoneal dialysis become a method of choice for commencing with dialysis treatment, as it better preserves residual renal function, achieve better volume and anemia control in pretransplant period. Nevertheless, a significant number of patients on peritoneal dialysis is still with numerous comorbid conditions, and future efforts should be directed to good patient selection for the peritoneal dialysis, as well as to better prevention and therapy of comorbid conditions. Acta Medica Medianae 2004; 43 (3): 51-54.
Key words: peritoneal dialysis, dialysis solution, adequacy of dialysis, comorbidity, quality of life |