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Annals of Medicine and Medical Education
Volume 1, Issue 1 (March 2014), pp. 1-7

DOI: 10.12973/ejms.2014.101p

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Review article

Published online on Apr 02, 2014

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Reasons for drop-out of peritoneal dialysis and strategies of prevention: A review

Erim Gülcan, Mustafa Keles

Abstract

Chronic kidney diseases (CKD) is a disease that has become widespread all around the world and poses a gradually increasing problem; treatment choices are basically dialysis, peritoneum dialysis and kidney transplantation. Eight % of the patients around the world that undergo dialysis treatment have PD treatment. PD is basically the solute diffusion between blood and diffusate in peritoneum capillary, causing ultrafiltration at peritoneal cavity by hypertonic solutions, and finally using peritoneum as a dialysis membrane. PD is an ESRD treatment that is cheap, enabling patients to move freely and that has no survival difference than HD and even has some common points. Interestingly, number of patients that undergo PD has decreased in recent years. Many factors are known to have played a role in that. increase in the number of large-scale dialysis organisations, recurrent peritonitis, transition to HD, increase in the number of patients that undergo transplantation, technical troubles relating to PD catheter, and social and economic condition of the individual can be referred to amongst these factors. In this review, we will endeavour to scrutinise the factors that has affected termination of PD, and strategies of prevention.

Key Words: Peritoneal Dialysis, Reasons for drop-out, strategies of prevention


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