Dialysis Adequacy (Peritoneal Dialysis) Guidelines. I. Small solute clearance targets in peritoneal dialysis

Johnson, David, Brown, Fiona, Lammi, Helen and Walker, Robert (2005) Dialysis Adequacy (Peritoneal Dialysis) Guidelines. I. Small solute clearance targets in peritoneal dialysis. Nephrology, 10 S4: S81-S85. doi:10.1111/j.1440-1797.2005.00465_1.x


Author Johnson, David
Brown, Fiona
Lammi, Helen
Walker, Robert
Title Dialysis Adequacy (Peritoneal Dialysis) Guidelines. I. Small solute clearance targets in peritoneal dialysis
Journal name Nephrology   Check publisher's open access policy
ISSN 1320-5358
Publication date 2005-10-01
Sub-type Article (original research)
DOI 10.1111/j.1440-1797.2005.00465_1.x
Volume 10
Issue S4
Start page S81
End page S85
Total pages 5
Editor David Harris
Place of publication Carlton, Vic.
Publisher Blackwell Science
Collection year 2005
Language eng
Subject CX
730118 Organs, diseases and abnormal conditions not elsewhere classified
110312 Nephrology and Urology
Formatted abstract
As with any medical treatment, there are significant uncertainties associated with the prescription of peritoneal dialysis, including patient compliance, dialysis reliability, individual patient response to therapy and modification of membrane characteristics by the procedure. These uncertainties mandate the performance of some objective measurements of the adequacy of dialysis delivery. Unfortunately, there has been a tendency in the renal literature and in other guidelines to equate adequacy with small solute clearance measurements. Such an approach runs the risk of treating a laboratory result rather than the whole patient. Small solute clearance must not be considered in isolation, but interpreted in the more global context of clinical and laboratory assessments of all the other manifold aspects of dialysis adequacy, such as hydration status, blood pressure and lipid control, bone disease, anaemia and nutrition.
Q-Index Code CX

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 15:44:41 EST