International Urology and Nephrology

, Volume 40, Issue 4, pp 1027–1033 | Cite as

Challenges in pediatric peritoneal dialysis in Turkey

  • Mesiha Ekim
  • Sevcan A. Bakkaloglu
  • Nejat Aksu
  • Sema Akman
  • Aytul Noyan
  • Lale Sever
Nephrology - Review

Abstract

Chronic peritoneal dialysis (CPD) is the modality of choice for children with end-stage renal disease in Turkey. CPD was first instituted in 1989 in Turkish pediatric patients by using imported basic equipment and solutions since then the number of patients on CPD increased gradually. Parallel to the developments in the PD industry, in 2002, the Turkish Pediatric Nephrology Association established the Turkish Pediatric Peritoneal Dialysis (TUPEPD) Study Group to study peritoneal dialysis in children and adolescents. Today in Turkey, almost all of the PD equipment and PD solutions are available. Turkish pediatric nephrologists now have a significant experience with PD. Physicians, parents, and the children prefer to start with CPD because of its advantages, such as a more liberal social life and better school attendance.

Keywords

APD CAPD Children Chronic peritoneal dialysis End-stage renal disease 

References

  1. 1.
    Registry of the Nephrology, Dialysis and Transplantation in Turkey (2007) Turkish Society of Nephrology Registry 2006, Istanbul. http://www.tsn.org.tr
  2. 2.
    Bakkaloglu SA, Ekim M, Sever L, Noyan A, Aksu N, Akman S et al (2005) Chronic peritoneal dialysis in Turkish children: a multicenter study. Pediatr Nephrol 20:644–651. doi: 10.1007/s00467-004-1773-9 PubMedCrossRefGoogle Scholar
  3. 3.
    Registry of the Nephrology, Dialysis and Transplantation in Turkey (1997) Registry 1996, IstanbulGoogle Scholar
  4. 4.
    Akman S, Bakkaloglu SA, Ekim M, Sever L, Noyan A, Aksu N (2009) A comparative analysis on the peritonitis rates and common microorganisms in CAPD and APD. Pediatr Int 51(5) (in press)Google Scholar
  5. 5.
    Alexander SR, Donaldson LA, Sullivan EK (1998) CAPD/CCPD for children in North America: the NAPRTCS experience. In: Fine RN, Alexander SR, Warady BA (eds) CAPD/CCPD in children, 2nd edn. Kluwer, Boston, MA, pp 1–16Google Scholar
  6. 6.
    Edefonti A, Verrina E, Schaefer F, Fischbach M, Watson A (1998) The European experience with CAPD/CCPD in children. In: Fine RN, Alexander SR, Warady BA (eds) CAPD/CCPD in children, 2nd edn. Kluwer Academic Publishers, Boston, MA, pp 17–33Google Scholar
  7. 7.
    Honda M (1999) The 1997 Report of the Japanese National Registry data on pediatric peritoneal dialysis patients. Perit Dial Int 19(Suppl 2):S473–S478PubMedGoogle Scholar
  8. 8.
    Warady BA, Alexander SR, Balfe JW, Harvey E (2000) Peritoneal dialysis in children. In: Gokal R, Khanna R, Krediet R, Nolph K (eds) Textbook of peritoneal dialysis, 2nd edn. Kluwer, Dordrecht, pp 667–708Google Scholar
  9. 9.
    North American Pediatric Renal Trials and Collaborative Studies NAPRTCS (2007) Annual Report Renal Transplantation Dialysis Chronic Renal Insufficiency. https://web.emmes.com/study/ped/annlrept/annlrept2007.pdf
  10. 10.
    Schaefer F, Klaus G, Muller-Wiefel DE, Mehls O (1999) Current practice of peritoneal dialysis in children: results of a longitudinal survey. Mid European Pediatric Peritoneal Dialysis Study Group (MEPPS). Perit Dial Int 19(Suppl 2):S445–S449PubMedGoogle Scholar
  11. 11.
    Verrina E, Perfumo F, Calevo MG, Rinaldi S, Sorino P, Andreetta B et al (1999) The Italian pediatric chronic peritoneal dialysis registry. Perit Dial Int 19(Suppl 2):479–483Google Scholar
  12. 12.
    Fine RN, Ho M (2002) The role of APD in the management of pediatric patients: a report of the North American Pediatric Renal Transplant Cooperative Study. Semin Dial 15:427–429. doi: 10.1046/j.1525-139X.2002.00105.x PubMedCrossRefGoogle Scholar
  13. 13.
    Kohli HS, Bhat A, Sud AK, Jha V, Gupta KL, Sakhuja V (2006) Spectrum of renal failure in elderly patients. Int Urol Nephrol 38:759–765. doi: 10.1007/s11255-006-0089-z PubMedCrossRefGoogle Scholar
  14. 14.
    Prakash J, Hota JK, Singh S, Sharma OP (2006) Clinical spectrum of chronic renal failure in the elderly: a hospital based study from eastern India. Int Urol Nephrol 38:821–827. doi: 10.1007/s11255-006-9003-y PubMedCrossRefGoogle Scholar
  15. 15.
    Leonard MB, Donaldson DA, Ho M, Geary DF (2003) A prospective cohort study of incident maintenance dialysis in children: an NAPRTC study. Kidney Int 63:744–755. doi: 10.1046/j.1523-1755.2003.00788.x PubMedCrossRefGoogle Scholar
  16. 16.
    Verrina E, Edefonti A, Gianoglio B, Rinaldi S, Sorino P, Zacchello G et al (2004) A multicenter experience on patient and technique survival in children on chronic dialysis. Pediatr Nephrol 19:82–90. doi: 10.1007/s00467-003-1270-6 PubMedCrossRefGoogle Scholar
  17. 17.
    Hattori S, Yosioka K, Honda M, Ito H (2002) (on behalf of the Japanese Society for Pediatric Nephrology). The 1998 report of the Japanese National Registry data on pediatric end-stage renal disease patients. Pediatr Nephrol 17:456–461. doi: 10.1007/s00467-002-0848-8 PubMedCrossRefGoogle Scholar
  18. 18.
    Risdon RA, Yeung CK, Ransley PG (1993) Reflux nephropathy in children submitted to unilateral nephrectomy: a clinicopathological study. Clin Nephrol 40:308–314PubMedGoogle Scholar
  19. 19.
    Pundziene B, Masalskiene J, Jankauskiene A, Cerkauskiene R, Aleksyniene V, Dobiliene D et al (2007) Etiology, prevalence of chronic renal failure and growth retardation in Lithuanian children. Medicina (Kaunas) 43(Suppl 1):11–15Google Scholar
  20. 20.
    Michel IO, Gabreil OE (2004) Chronic renal failure in children of Benin, Nigeria. Saudi J Kidney Dis Transpl 15:79–83Google Scholar
  21. 21.
    Mong Hiep TT, Janssen F, Ismaili K, Minh DG, Kiet DV, Robert A (2008) Etiology and outcome of chronic renal failure in hospitalized children in Ho Chi Minh City, Vietnam. Pediatr Nephrol 23:965–970PubMedCrossRefGoogle Scholar
  22. 22.
    Strippoli GF, Tong A, Johnson D et al (2004) Catheter-related interventions to prevent peritonitis in peritoneal dialysis: a systematic review of randomized, controlled trials. J Am Soc Nephrol 15:2735–2746. doi: 10.1097/01.ASN.0000141463.95561.79 PubMedCrossRefGoogle Scholar
  23. 23.
    Daschner M, Gfrörer S, Zachariou Z, Mehls O, Schaefer F (2002) Laparoscopic Tenckhoff catheter implantation in children. Perit Dial Int 22:22–26PubMedGoogle Scholar
  24. 24.
    Lund L, Jønler M (2007) Peritoneal dialysis catheter placement: is laparoscopy an option? Int Urol Nephrol 39:625–628. doi: 10.1007/s11255-007-9193-y PubMedCrossRefGoogle Scholar
  25. 25.
    Aksu N, Yavascan O, Anil M, Kara OD, Erdogan E, Bal AA (2007) Ten-year single-centre experience in children on chronic peritoneal dialysis—significance of percutaneous placement of peritoneal dialysis catheters. Nephrol Dial Transplant 22:2045–2051. doi: 10.1093/ndt/gfm150 PubMedCrossRefGoogle Scholar
  26. 26.
    Ekim M, Tumer N, Yalcinkaya F, Cakar N, Ensari C, Cakmak M (1993) Cocuklarda CAPD tedavisi. Turk Nefroloji Diyaliz Transplantasyon Derg 2:68–75Google Scholar
  27. 27.
    Furth LS, Donaldson AL, Sullivan KE, Watkins LS (2000) Peritoneal dialysis catheter infections and peritonitis in children: a report of the North American Pediatric Renal Transplant Cooperative Study. Pediatr Nephrol 15:179–182. doi: 10.1007/s004670000441 PubMedCrossRefGoogle Scholar
  28. 28.
    Rahim KA, Seidel K, McDonald RA (2004) Risk factors for catheter-related complications in pediatric peritoneal dialysis. Pediatr Nephrol 19:1021–1028. doi: 10.1007/s00467-004-1520-2 PubMedCrossRefGoogle Scholar
  29. 29.
    Rinaldi S, Sera F, Verrina E, Edefonti A, Gianoglio B, Perfumo F, Italian Registry of Pediatric Chronic Peritoneal Dialysis et al (2004) Chronic peritoneal dialysis catheters in children: a 15-year experience of the Italian registry of pediatric chronic peritoneal dialysis. Perit Dial Int 24:481–486PubMedGoogle Scholar
  30. 30.
    Hoshii S, Wada N, Honda M (2006) A survey of peritonitis and exit-site and/or tunnel infections in Japanese children on PD. Pediatr Nephrol 21:828–834. doi: 10.1007/s00467-006-0004-y PubMedCrossRefGoogle Scholar
  31. 31.
    Boehm M, Vécsei A, Aufricht C, Mueller T, Csaicsich D, Arbeiter K (2005) Risk factors for peritonitis in pediatric peritoneal dialysis a single-center study. Pediatr Nephrol 20:1478–1483. doi: 10.1007/s00467-005-1953-2 PubMedCrossRefGoogle Scholar
  32. 32.
    Auron A, Simon S, Andrews W, Jones L, Johnson S, Musharaf G et al (2007) Prevention of peritonitis in children receiving peritoneal dialysis. Pediatr Nephrol 22:578–585. doi: 10.1007/s00467-006-0375-0 PubMedCrossRefGoogle Scholar
  33. 33.
    Schaefer F, Feneberg R, Aksu N, Donmez O, Sadikoglu B, Alexander SR et al (2007) Worldwide variation of dialysis-associated peritonitis in children. Kidney Int 72:1374–1379. doi: 10.1038/sj.ki.5002523 PubMedCrossRefGoogle Scholar
  34. 34.
    National Kidney Foundation Task on Cardiovascular Disease (1998) Controlling the epidemic of cardiovascular disease in chronic renal disease: what do we know? what do we need to know? Special report from the National Kidney Foundation Task Force on Cardiovascular Disease. Am J Kidney Dis 32(Suppl 3):1–121Google Scholar
  35. 35.
    U.S. Renal Data System USRDS (2003) Annual Report, Bethesda, The National Institute of Diabetes and Digestive and Kidney Diseases. http://www.usrds.org
  36. 36.
    Groothoff JW, Gruppen MP, Offringa M, Hutten J, Lilien MR, Van De Kar NJ et al (2002) Mortality and causes of death of end-stage renal disease in children: a Dutch cohort study. Kidney Int 61:621–629. doi: 10.1046/j.1523-1755.2002.00156.x PubMedCrossRefGoogle Scholar
  37. 37.
    McDonald SP, Craig JC (2004) Australian and New Zealand Paediatric Nephrology Association Long-term survival of children with end-stage renal disease. N Engl J Med 350:2654–2662. doi: 10.1056/NEJMoa031643 PubMedCrossRefGoogle Scholar
  38. 38.
    Alexander SR (1999) Pediatric end-stage renal disease. Am J Kidney Dis 34:S102–S113Google Scholar
  39. 39.
    Neu AM, Ho PL, McDonald RA, Warady BA (2002) Chronic dialysis in children and adolescents. The 2001 NAPRTCS Annual Report. Pediatr Nephrol 17:656–663. doi: 10.1007/s00467-002-0928-9 PubMedCrossRefGoogle Scholar
  40. 40.
    Ekim M, Ikinciogullari A, Ulukol B, Bakkaloglu SA, Ozkaya N, Kendirli T et al (2003) Evaluation of nutritional status and factors related to malnutrition in children on CAPD. Perit Dial Int 23:557–562PubMedGoogle Scholar
  41. 41.
    Honda M (1999) The role of the pediatric nephrologist. Kidney Dial 47:451–457 in JapaneseGoogle Scholar
  42. 42.
    Utas C (2007) Cost analysis in applications of dialysis. Off J Turk Soc Nephrol 16(suppl 2):73–76Google Scholar
  43. 43.
    Oreopoulos D, Thodis E, Paraskevas KI (2008) The promising future of long-term peritoneal dialysis. Int Urol Nephrol 40:405–410PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, B.V. 2008

Authors and Affiliations

  • Mesiha Ekim
    • 1
  • Sevcan A. Bakkaloglu
    • 2
  • Nejat Aksu
    • 3
  • Sema Akman
    • 4
  • Aytul Noyan
    • 5
  • Lale Sever
    • 6
  1. 1.Department of Pediatric NephrologyAnkara University School of MedicineAnkaraTurkey
  2. 2.Department of Pediatric NephrologyGazi University School of MedicineAnkaraTurkey
  3. 3.Pediatric Nephrology UnitTepecik Training and Research HospitalIzmirTurkey
  4. 4.Department of Pediatric NephrologyAkdeniz University School of MedicineAntalyaTurkey
  5. 5.Department of Pediatric NephrologyCukurova University School of MedicineAdanaTurkey
  6. 6.Department of Pediatric NephrologyIstanbul University Cerrahpasa School of MedicineIstanbulTurkey

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