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Part 1: PD Development and Enhancement of PD Programs |
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: Peritonitis; adequacy; outcomes; membrane changes; inflammation.
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