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Nolph and Gokal's Textbook of Peritoneal Dialysis pp 469–503Cite as

Adequacy of Peritoneal Dialysis, Including Fluid Balance

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As a renal replacement therapy, dialysis, at best, can approximate only a portion of normal renal function (Table 16.1). Despite these deficiencies, however, dialysis has remarkably extended the lives of chronic kidney disease patients, some for decades. Although many patients do very well on dialysis, the survival of patients is markedly reduced compared to age- and race-matched people in the general population [1]. The extent to which ongoing uremia in the form of underdialysis contributes to this overall mortality rate in the dialysis population is unknown. Some have suggested that inadequacy in the prescribed dose of dialysis contributes to these high mortality rates [2, 3]. As a result, more attention has been paid to patient outcome and to optimizing total solute clearance.

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  1. Wake Forest University Health Sciences Center, Bowman Gray School of Medicine, Winston Salem, North Carolina

    J. M. Burkart & J. M. Bargman

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  1. School of Medicine Department of Medicine Division of Nephrology, MA436 Health Sciences Center, Columbia, MO 65212, USA

    Ramesh Khanna

  2. Academic Medical Center Dept. Medicine, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands

    Raymond T. Krediet

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Burkart, J.M., Bargman, J.M. (2009). Adequacy of Peritoneal Dialysis, Including Fluid Balance. In: Khanna, R., Krediet, R.T. (eds) Nolph and Gokal's Textbook of Peritoneal Dialysis. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-78940-8_16

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