1996 peritoneal dialysis--core indicators report.

M. J. Flanigan, M. V. Rocco, D. L. Frankenfield, G. Bailie, P. R. Frederick, B. F. Prowant, L. Taylor

Research output: Contribution to journalArticle

Abstract

The 1996 Peritoneal Dialysis-Core Indicators Study (PD-CIS) retrospectively reviews a random sample of peritoneal dialysis patients from the United States End-Stage Renal Disease (ESRD) program. Peritoneal dialysis (PD) patients are more likely to have a primary diagnosis of glomerulonephritis, less likely to be of African-American heritage, and are younger than hemodialysis patients. One third of PD patients now perform some form of automated peritoneal dialysis (APD) rather than continuous ambulatory peritoneal dialysis (CAPD). The dialysis prescriptions currently employed do not appear to be based on kinetic principles, and the intensity of dialysis achieved is below the proposed minimal guidelines for 30% of patients. In 1996, the mean dialysis index or wKt/Vurea for CAPD patients was 2.0 +/- 0.5 and was not significantly altered from the 1995 value of 2.1. Eighty-four percent of CAPD patients perform four or fewer exchanges daily, and only 27% of patients have prescriptions using infusion volumes greater than 2 L. Although hematocrits have improved since 1995, 30% of PD patients have a hematocrit below 30%. The mean serum albumin for PD patients is 3.5 g/dL, and 25% of patients have a 6-month average serum albumin value below 3.2 g/dL. In general, the indices monitored as predictive of health and well-being of PD patients afford significant opportunity for improvement.

Original languageEnglish (US)
JournalAmerican Journal of Kidney Diseases
Volume32
Issue number1
StatePublished - 1998
Externally publishedYes

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Peritoneal Dialysis
Continuous Ambulatory Peritoneal Dialysis
Dialysis
Hematocrit
Serum Albumin
Prescriptions
Glomerulonephritis
African Americans
Chronic Kidney Failure
Renal Dialysis
Guidelines

Cite this

Flanigan, M. J., Rocco, M. V., Frankenfield, D. L., Bailie, G., Frederick, P. R., Prowant, B. F., & Taylor, L. (1998). 1996 peritoneal dialysis--core indicators report. American Journal of Kidney Diseases, 32(1).

1996 peritoneal dialysis--core indicators report. / Flanigan, M. J.; Rocco, M. V.; Frankenfield, D. L.; Bailie, G.; Frederick, P. R.; Prowant, B. F.; Taylor, L.

In: American Journal of Kidney Diseases, Vol. 32, No. 1, 1998.

Research output: Contribution to journalArticle

Flanigan, MJ, Rocco, MV, Frankenfield, DL, Bailie, G, Frederick, PR, Prowant, BF & Taylor, L 1998, '1996 peritoneal dialysis--core indicators report.', American Journal of Kidney Diseases, vol. 32, no. 1.
Flanigan MJ, Rocco MV, Frankenfield DL, Bailie G, Frederick PR, Prowant BF et al. 1996 peritoneal dialysis--core indicators report. American Journal of Kidney Diseases. 1998;32(1).
Flanigan, M. J. ; Rocco, M. V. ; Frankenfield, D. L. ; Bailie, G. ; Frederick, P. R. ; Prowant, B. F. ; Taylor, L. / 1996 peritoneal dialysis--core indicators report. In: American Journal of Kidney Diseases. 1998 ; Vol. 32, No. 1.
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