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Perit Dial Int 27(Supplement_2): 35-41 2007
© 2007 International Society for Peritoneal Dialysis
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Part 1: PD Development and Enhancement of PD Programs

30 YEARS OF PERITONEAL DIALYSIS DEVELOPMENT: THE PAST AND THE FUTURE

Raymond T. Krediet

Division of Nephrology, Department of Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam, Netherlands

Correspondence to: R.T. Krediet, Academic Medical Center, Division of Nephrology, Department of Medicine, P.O. Box 22700, Amsterdam 1100 DE Netherlands.
C.N.deboer{at}amc.uva.nl

A review is given of 30 years of development in peritoneal dialysis (PD). After a short description of the first 20 years, the main emphasis is put on the last 10 years. Subjects discussed are the increasing use of PD in high-risk populations, peritonitis and other catheter-related problems, adequacy of dialysis and nutrition, patient outcomes in comparison with hemodialysis, and peritoneal membrane changes with time on PD. Topics that have emerged during the last decade and the challenges for the next decennium are discussed. The great importance of quality assurance in fast-growing PD populations and of prevention of long-term membrane alterations are emphasized.

KEY WORDS: KEY WORDS:; Peritonitis; adequacy; outcomes; membrane changes; inflammation.






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