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Perit Dial Int 27(Supplement_2): 148-152 2007
© 2007 International Society for Peritoneal Dialysis
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Part 4: Technical Advances in PD

MAXIMIZING THE SUCCESS OF PERITONEAL DIALYSIS IN HIGH TRANSPORTERS

Philip Kam-Tao Li and Kai Ming Chow

Division of Nephrology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong SAR, PR China

Correspondence to: P.K.T. Li, Division of Nephrology, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, PR China.
philipli{at}cuhk.edu.hk

This article reviews the current understanding of high transport status in the peritoneal dialysis population and emphasizes survival can be improved for high transporters. To address the current state of knowledge on high peritoneal membrane transport, the negative impact of an increased peritoneal solute transport rate is first discussed. The potential downside of high transport status, notably on survival outcomes (as supported by registry data and meta-analysis), is highlighted. Based on recent advances and clinical studies, ways of maximizing the success of peritoneal dialysis treatment in high transporters are discussed, and management strategies are proposed.

KEY WORDS: KEY WORDS:; High transport; automated peritoneal dialysis; icodextrin; mortality; peritoneal equilibration test; peritoneal membrane transport; technique survival; ultrafiltration.




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Home page
 Nephrol Dial TransplantHome page
P. K.-T. Li and C.-C. Szeto
Success of the peritoneal dialysis programme in Hong Kong
Nephrol. Dial. Transplant., May 1, 2008; 23(5): 1475 - 1478.
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