Skip to main content
SpringerLink
Log in

Quality in peritoneal dialysis: achieving improving outcomes

  • Chapter
Quality Assurance in Dialysis

Part of the book series: Developments in Nephrology ((DINE,volume 39))

  • 147 Accesses

Abstract

The goal of this chapter is to discuss the characteristics of systems (structure) and activities (process) within a peritoneal dialysis (PD) program which contribute to optimal outcomes (quality) for peritoneal dialysis patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Maiorca R, Cancarini GC, Zubani R et al. CAPD Viability: a long-term comparison with hemodialysis. Peril Dial Int 1996; 16:276–87.

    CAS  Google Scholar 

  2. Fenton SS, Schaubel DE, Desmeules M et al. Hemodialysis versus peritoneal dialysis: a comparison of adjusted mortality rates. Am J Kidney Dis 1997; 30:334–42.

    PubMed  CAS  Google Scholar 

  3. Bloembergen WE, Port FK, Mauger EA, Wolfe RA. A comparison of mortality between patients treated with hemodialysis and peritoneal dialysis. J Am Soc Nephrol 1995; 6:177–83.

    PubMed  CAS  Google Scholar 

  4. Vonesh E. Further comparisons of mortality between hemodialysis and PD. Presentation at the 18th Annual PD Conference, Nashville, TN, February 25, 1998.

    Google Scholar 

  5. Boen ST. Integration of continuous ambulatory peritoneal dialysis into endstage renal failure programmes: present and future. In Atkins RC, Thomson NM and Farrell PC, editors. Peritoneal dialysis. Edinburgh, Churchill Livingstone, 1981; 424–9.

    Google Scholar 

  6. Coover D and Conlon S. ESRD treatment modalities: The patient does have the right to choose. Nephrol Nurse 1982; 4:13–16,18.

    PubMed  CAS  Google Scholar 

  7. Orr ML. Pre-dialysis patient education. J Nephrol Nursing 1985; 2:22–4.

    CAS  Google Scholar 

  8. Nitz J and Shayman D. A model for patient education. ANNA J 1986; 13:253–5.

    PubMed  CAS  Google Scholar 

  9. Starzomski RC. Patient and staff involvement in decisions for ESRD treatment. ANNA J 1986; 13:325–8.

    Google Scholar 

  10. Tiedke J, Bielski C, Kinas J and Marquardt B. Dialysis treatment: are patients aware of their options? Nephrol News Issues 1992; 6(11):52–3, 58.

    PubMed  CAS  Google Scholar 

  11. Baxter Healthcare Corporation. The Best Demonstrated Practices Program: Modality Selection Practices. Deerfield, IL: Author, 1988.

    Google Scholar 

  12. Campbell AR. Choosing an appropriate chronic dialysis therapy: a study of decisions by nephrology staff and patients (abstract). Perit Dial Int 1991; 11:40.

    Google Scholar 

  13. Grumke J and King K. Missouri Kidney Program’s patient-education program: a 10-year review. Dial Transplant 1994; 23:691–9, 712.

    Google Scholar 

  14. Stephenson K and Villano R. Results of a predialysis patient education program. Dial Transplant 1993; 22:566–7, 570.

    Google Scholar 

  15. Campbell A. Strategies for improving dialysis decision making. Perit Dial Int 1991; 11:173–8.

    PubMed  CAS  Google Scholar 

  16. Hayslip DM and Suttle CD. Pre-ESRD patient education: a review of the literature. Adv Renal Replace Ther 1995; 1:217–26.

    Google Scholar 

  17. Kochavi S. Implementing a pre-dialysis education program for patients and families. Dial Transplant 1990; 19:526–7,531.

    Google Scholar 

  18. Baxter Healthcare Corporation. The best demonstrated practices program: patient education and training practices. Deerfleld, IL: Author, 1987.

    Google Scholar 

  19. Nolph KD, Sorkin MI, Prowant B and Webb J. National conference of continuous ambulatory peritoneal dialysis. Perit Dial Bull 1981; 1:65–66.

    Google Scholar 

  20. Uttley L and Prowant B. Organization of the peritoneal dialysis program the nurses’ role. In Gokal R and Nolph KD, editors. The textbook of peritoneal dialysis. Dordrecht: Kluwer Academic Publishers, 1994; 335–56.

    Google Scholar 

  21. Harvey E, Seeker D, Braj B, Picone G and Balfe JW. The team approach to the management of children on chronic peritoneal dialysis. Adv Renal Replace Ther 1996; 3:3–13.

    CAS  Google Scholar 

  22. Chinn C. Collaborative practice of renal nutrition in endstage renal disease patient care. Adv Renal Replace Ther 1997; 4:397–9.

    CAS  Google Scholar 

  23. Kelly MP. Introduction: Diagnostic Reasoning: maximizing the strength of an interdisciplinary approach. Adv Renal Replace Ther 1997; 4:95–6.

    CAS  Google Scholar 

  24. Burnell MS. The hemodialysis patient: object of diagnosis or part of the treatment team? Adv Renal Replace Ther 1997; 4:145–51.

    CAS  Google Scholar 

  25. Kopple JD, and Blumenkrantz MJ. Nutritional requirements for patients undergoing continuous ambulatory peritoneal dialysis. Kidney Int 1983; 24:S295–302.

    Google Scholar 

  26. Lindholm B and Bergström J. Nutritional requirements of peritoneal dialysis patients. In Gokal R and Nolph KD, editors. The textbook of peritoneal dialysis. Dordrecht, Kluwer Academic Publishers, 1994; 443–72.

    Google Scholar 

  27. Blumenkrantz MJ. Nutrition. In Daugirdas JT and Ing TS, editors. Handbook of dialysis, 2nd edn. Boston, Little, Brown and Company, 1994; 374–400.

    Google Scholar 

  28. Wolfson M and Shuler C. Nutrition in patients with chronic renal failure and patients on dialysis. In Nissenson AR, Fine RN and Gentile DE, editors. Clinical dialysis, 3rd ed. Norwalk, CT, Appleton & Lange, 1995; 518–34.

    Google Scholar 

  29. Council on Renal Nutrition NKF, Inc. Guidelines for estimating renal dietitian staffing levels. New York, National Kidney Foundation, 1993.

    Google Scholar 

  30. Ducanis AJ and Golin AK. The interdisciplinary health care team. Germantown, MD, Aspen, 1979.

    Google Scholar 

  31. Lecca PJ and McNeil JS, editors. Interdisciplinary team practice: issues and trends. New York, Praeger, 1985.

    Google Scholar 

  32. Marram G, Barrett MW and Bevis EMO. Primary nursing, a model for individualized care. St. Louis, CV Mosby, 1979.

    Google Scholar 

  33. Giovanetti P. Evaluation of primary nursing in the nursing literature. Annu Rev Nurs Res 1986; 4:127–51.

    Google Scholar 

  34. Reed SE. A comparison of nurse-related behavior, philosophy of care and job satisfaction in team and primary nursing. J Adv Nurs 1988; 13:383–95.

    PubMed  CAS  Google Scholar 

  35. Gardner KG. The effects of primary versus team nursing on quality of patient care and impact on nursing staff and costs: a five year study. Rochester NY, Rochester General Hospital, 1989.

    Google Scholar 

  36. Thomas LH and Bond S. Outcomes of nursing care: the case of primary nursing. Int J Nurs Stud 1991; 28:291–314.

    PubMed  CAS  Google Scholar 

  37. Marram G, Flynn K, Abaravich W and Carey S. Costeffectiveness of primary and team nursing. Wakefield, MA, Contemporary Publishing, 1976.

    Google Scholar 

  38. Perras ST, Mattern ML and Zappacosta AR. The integration of primary nursing into a chronic care program. Nephrol Nurse 1982; 4:23–4.

    PubMed  CAS  Google Scholar 

  39. Perras S, Mattern M, Hugues C, Coyer J and Zappacosta A. Primary nursing is the key to success in an outpatient CAPD teaching program. Nephrol Nurse 1983; 5:8–11.

    PubMed  CAS  Google Scholar 

  40. Mason EJ. How to write meaningful nursing standards, 3rd ed. New York, John Wiley & Sons, 1994.

    Google Scholar 

  41. Burrows-Hudson S, editor. Standards of clinical practice for nephrology nursing. Pitman, NJ, American Nephrology Nurses’Association, 1993.

    Google Scholar 

  42. Hekelman FP. A framework for organizing a CAPD training program. J Nephrol Nurs 1985; 2:56–60.

    PubMed  CAS  Google Scholar 

  43. Ponferrada L, Prowant B, Schmidt LM, Burrows L, Satalowich RJ and Bartelt C. Home visit effectiveness for peritoneal dialysis patients. ANNA J 1993; 20:333–6.

    PubMed  CAS  Google Scholar 

  44. Bernardini J, Piraino B. Compliance in CAPD and CCPD patients as measured by supply inventories during home visits. Am J Kidney Dis 1998; 31:101–7.

    PubMed  CAS  Google Scholar 

  45. Thaler MK and Sasak C. Cooperative nursing care for patients using peritoneal dialysis. ANNA J 1988; 15:237–40

    PubMed  CAS  Google Scholar 

  46. Lewandowski L. Developing collaborative partnerships between inpatient nephrology and outpatient dialysis units. Adv Renal Replace Ther 1995; 2:371–2.

    CAS  Google Scholar 

  47. Anderson JE, Sturgeon D, Lindsay J and Schiller A. Use of continuous ambulatory peritoneal dialysis in a nursing home: patient characteristics, technique success, and survival predictors. Am J Kidney Dis 1990; 16:137–41.

    PubMed  CAS  Google Scholar 

  48. Anderson JE, Kraus J and Sturgeon D. Incidence, prevalence, and outcomes of end-stage renal disease patients placed in nursing homes. Am J Kidney Dis 1993; 21:619–27.

    PubMed  CAS  Google Scholar 

  49. Jorden L. Establishing a peritoneal dialysis program in a nursing home. Adv Renal Replace Ther 1996; 3:266–8.

    CAS  Google Scholar 

  50. Lindblad AS, Hamilton RW, Nolph KD and Novak JW. A retrospective analysis of catheter configuration and cuff type: a National CAPD Registry report. Perit Dial Int 1988; 8:129 33.

    Google Scholar 

  51. Warady BA, Sullivan EK and Alexander SR. Lessons from the peritoneal dialysis patient database: a report of the North American pediatric renal transplant cooperative study. Kidney Int 1996; 49(Suppl. 53):S68–71.

    Google Scholar 

  52. Twardowski ZJ and Khanna R. Peritoneal dialysis access and exit site care. In Gokal R and Nolph KD, editors. The textbook of peritoneal dialysis. Dordrecht, Kluwer Academic Publishers, 1994; 271–314.

    Google Scholar 

  53. Golper TA, Brier ME, Bunke M et al. for the Academic Subcommittee of the Steering Committee of the Network 9 Peritonitis and Catheter Survival Studies. Risk factors for peritonitis in long-term peritoneal dialysis: the Network 9 peritonitis and catheter survival studies. Am J Kidney Dis 1996; 28:428–36.

    PubMed  CAS  Google Scholar 

  54. Twardowski ZJ and Prowant BF. Exit-site healing post catheter implantation. Perit Dial Int 1996; 16(Suppl. 3): S51–70

    Google Scholar 

  55. Gokal R, Alexander S, Ash S et al. Peritoneal catheters and exit site practices toward optimum peritoneal access: 1998 update. Perit Dial Int 1998; 18:11–33.

    PubMed  CAS  Google Scholar 

  56. Copley JB, Smith BJ, Koger DM, Rodgers DJ and Fowler M. Prevention of postoperative peritoneal dialysis catheter-related infections. Perit Dial Int 1998; 8:195–7.

    Google Scholar 

  57. Schmidt L, Prowant B, Schaefer R et al. An evaluation of nursing intervention for prevention of post operative peritoneal catheter exit site infections (abstract). ANNA J 1986; 13:98.

    Google Scholar 

  58. Jenson SR, Pomeroy M, Davidson M, Cox M and McMurray SD. Evaluation of dressing protocols that reduce peritoneal dialysis catheter exit site infections. ANNA J 1989; 16:425–31.

    Google Scholar 

  59. Starzomski R. Three techniques for peritoneal catheter exit site dressings. ANNA J 1984; 11:9–16.

    PubMed  CAS  Google Scholar 

  60. Prowant BF, Schmidt LM, Twardowski ZJ et al. Peritoneal dialysis catheter exit site care. ANNA J 1988; 15:219–23.

    PubMed  CAS  Google Scholar 

  61. Luzar MA, Brown C, Balf D et al. CAPD exit site care and exit-site infection in continuous ambulatory peritoneal dialysis (CAPD): results of a randomized multicenter trial. Perit Dial Int 1990; 10:25–9.

    PubMed  CAS  Google Scholar 

  62. Fuchs J, Gallagher ME, Jackson-Bey D, Krawtz D and Schreiber MJ. A prospective randomized study of peritoneal catheter exit-site care. Dial Transplant 1990; 19:81–4.

    Google Scholar 

  63. Sewell CM, Clarridge J, Lacke C, Weinman EJ and Young EJ. Staphylococcal nasal carriage and subsequent infection in peritoneal dialysis patients. JAMA 1982; 248:1493–5.

    PubMed  CAS  Google Scholar 

  64. Sesso R, Draibe S, Castelo A et al. Staphylococcus aureus skin carriage and development of peritonitis in patients on continuous ambulatory peritoneal dialysis. Clin Nephrol 1989; 31:264–8.

    PubMed  CAS  Google Scholar 

  65. Davies SJ, Ogg CS, Cameron JS, Poston S and Noble WC. Staphylococcus aureus nasal carriage, exit-site infection and catheter loss in patients treated with continuous ambulatory peritoneal dialysis (CAPD). Perit Dial Int 1989; 9:61–4.

    PubMed  CAS  Google Scholar 

  66. Luzar MA, Coles GA, Faller B et al. Staphylococcus aureus nasal carriage and infection in patients on continuous ambulatory peritoneal dialysis. New Engl J Med 1990; 322:505–9.

    Article  PubMed  CAS  Google Scholar 

  67. Swartz R, Messana J, Starmann B, Weber M and Reynolds J. Preventing Staphyloccus aureus infection during chronic peritoneal dialysis. J Am Soc Nephrol 1991; 2:1085–91.

    PubMed  CAS  Google Scholar 

  68. Piraino B, Perlmutter JA, Holley JL and Bernardini J. Staphylococcus aureus peritonitis is associated with Staphylococcus aureus nasal carriage in peritoneal dialysis patients. Perit Dial Int 1993; 13(Suppl. 2):S332–4.

    Google Scholar 

  69. Zimmerman SW, O’Brien M, Wiedenhoeft FA and Johnson CA. Staphlococcus aureus peritoneal catheter-related infections: a cause of catheter loss and peritonitis. Perit Dial Int 1988; 8:191–4.

    Google Scholar 

  70. Zimmerman SW, Ahrens E, Johnson CA et al. Randomized controlled trial of prophylactic rifampin for peritoneal dialysis-related infections. Am J Kidney Dis 1991; 18:225–31.

    PubMed  CAS  Google Scholar 

  71. Pérez-Fontán M, García-Falcón T, Rosales M et al. Treatment of Staphyloccus aureus nasal carriers in continuous ambulatory peritoneal dialysis with mupirocin: long-term results. Am J Kidney Dis 1993; 22:708–12.

    PubMed  Google Scholar 

  72. Mupirocin Study Group. Nasal mupirocin prevents Staphylococcus aureus exit-site infection during peritoneal dialysis. J Am Soc Nephrol 1996; 2403–8.

    Google Scholar 

  73. Bernardini J, Piraino B, Holley J, Johnston JR and Lutes R. A randomized trial of Staphylococcus aureus prophylaxis in peritoneal dialysis patients: mupirocin calcium ointment 2% applied to the exit site versus cyclic oral rifampin. Am J Kidney Dis 1996; 27:695–700.

    PubMed  CAS  Google Scholar 

  74. Majorca R, Cantaluppi A, Cancarini GC et al. Prospective controlled trial of a Y-connector and disinfectant to prevent peritonitis in continuous ambulatory peritoneal dialysis. Lancet 1983; ii:624–4.

    Google Scholar 

  75. Canadian CAPD Clinical Trials Group. Peritonitis in continuous ambulatory peritoneal dialysis (CAPD): a multi-centre randomized clinical trial comparing the Y connector disinfectant system to standard systems. Perit Dial Int 1989; 9:159–63.

    Google Scholar 

  76. Keane WF, Alexander SR, Bailie GR et al. Peritoneal dialysis-related peritonitis treatment recommendations: 1996 update. Perit Dial Int 1996; 16:557–73.

    PubMed  CAS  Google Scholar 

  77. Baxter Healthcare Corporation. The best demonstrated practices program peritonitis management and antibiotic therapy practices. Deerfield, IL; 1987.

    Google Scholar 

  78. Prowant BF and Twardowski ZJ. Recommendations for exit care. Perit Dial Int 1996; 16(Suppl. 3):S94–9.

    Google Scholar 

  79. Prowant BF. Nursing interventions related to peritoneal catheter exit-site infections. Adv Renal Replace Ther 1996; 3:228–31.

    CAS  Google Scholar 

  80. Teehan BP, Schleifer CR and Brown J. Adequacy of continuous ambulatory peritoneal dialysis: morbidity and mortality in chronic peritoneal dialysis. Am J Kidney Dis 1994; 24:990–1001.

    PubMed  CAS  Google Scholar 

  81. Brandes JC, Piering WF, Beres JA, Blumenthal SS and Fritsche C. Clinical outcome of continuous peritoneal dialysis predicted by urea and creatinine kinetics. J Am Soc Nephrol 1992: 2:1430–5.

    PubMed  CAS  Google Scholar 

  82. Maiorca R, Brunori G, Zubani R et al. Predictive value of dialysis adequacy and nutritionalindices for morbidity and mortality in CAPD and HD patients: a longitudinal study. Nephrol Dial Transplant 1995; 10:2295–305.

    PubMed  CAS  Google Scholar 

  83. Lameire NH, Vanholder R, Veyt D, Lambert MC and Ringoir S. A longitudinal, five year survey of urea kinetic parameters in CAPD patients. Kidney Int 1992; 42:426–32.

    PubMed  CAS  Google Scholar 

  84. Genestier S, Hedelin G, Schaffer P and Faller B. Prognostic factors in CAPD patients: a retrospective study of a 10-year period. Nephrol Dial Transplant 1995; 10:1905 11.

    PubMed  Google Scholar 

  85. CANADA-USA (CANUSA) Peritoneal Dialysis Study Group. Adequacy of dialysis and nutrition in continuous peritoneal dialysis: association with clinical outcomes. J Am Soc Nephrol 1996; 7:198–207.

    Google Scholar 

  86. Nolph KD, Jensen RA, Khanna R and Twardowski ZJ. Weight limitations for weekly urea clearances using various exchange volumes in continuous ambulatory peritoneal dialysis. Perit Dial Int 1994; 14:261 4.

    PubMed  Google Scholar 

  87. Twardowski ZJ and Nolph KD. Is peritoneal dialysis feasible once a large muscular patient becomes anuric? Perit Dial Int 1996; 16:20 3.

    PubMed  Google Scholar 

  88. Jindal KK, Hirsch DJ. Long-term peritoneal dialysis in the absence of residual renal function. Perit Dial Int 1996; 16:78–89.

    PubMed  CAS  Google Scholar 

  89. Tzamaloukas AH, Murata GH, Malhotra D, Fox L, Goldman RS and Avasthi PS. The minimal dose of dialysis required for a target KT/V in continuous peritoneal dialysis. Clin Nephrol 1995; 44:316–21.

    PubMed  CAS  Google Scholar 

  90. Harty J, Boulton H, Venning M and Gokal R. Impact of increasing dialysis volume on adequacy targets: a prospective study. J Am Soc Nephrol 1997; 8:1304–10.

    PubMed  CAS  Google Scholar 

  91. Keshaviah P. Establishing kinetic guidelines for peritoneal dialysis modality selection. Perit Dial Int 1997; 17(Suppl. 3):S53–7.

    Google Scholar 

  92. Burkart JM, Schreiber M, Korbet SM et al. Solute clearance approach to adequacy of peritoneal dialysis. Perit Dial Int 1996; 16:457 70.

    PubMed  Google Scholar 

  93. Blake P, Burkart JM, Churchill DN et al. Recommended clinical practices for maximizing peritoneal dialysis clearances. Perit Dial Int 1996; 16:448–56.

    PubMed  CAS  Google Scholar 

  94. Afthentopoulos IE, Oreopoulos DG. Is CAPD an effective treatment for ESRD patients with a weight over 80 kg? Clin Nephrol 1997; 47:389–93.

    PubMed  CAS  Google Scholar 

  95. Henderson LW and Nolph KD. Altered permeability of the peritoneal membrane after using hypertonic peritoneal dialysis fluid. J Clin Invest 1969; 48:992–1001.

    Article  PubMed  CAS  Google Scholar 

  96. Garred LJ, Canaud B, Farrell PC. A simple kinetic model for assessing peritoneal mass transfer in chronic ambulatory peritoneal dialysis. ASAIO J 1983; 6:131–7.

    Google Scholar 

  97. Randerson DH and Farrell PC. Mass transfer properties of the human peritoneum. ASAIO J, 1980; 3:140–6.

    Google Scholar 

  98. Pyle WK. Mass transfer in peritoneal dialysis [dissertation]. Austin, Texas: University of Texas, 1981.

    Google Scholar 

  99. Pyle WK, Moncrief JW and Popovich RP. Peritoneal transport evaluation in CAPD. In Moncrief JW and Popovich RP, editors. CAPD Update: Continuous ambulatory peritoneal dialysis. New York, Masson Publishing. 1981; 35–52.

    Google Scholar 

  100. Popovich RP, Moncrief JW and Pyle WK. Transport kinetics. In Nolph KD. editor. Peritoneal dialysis. 3rd edn. Dordrecht, Kluwer Academic 1989; 96–116.

    Google Scholar 

  101. Rippe B and Stelin G. Simulations of peritoneal solute transport during CAPD. Application of a two-pore formalism. Kidney Int 1989; 35:1234 44.

    PubMed  Google Scholar 

  102. Rippe B and Krediet RT. Peritoneal physiology-transport of solutes. In Gokal R and Nolph KD, editors. The textbook of peritoneal dialysis. Dordrecht, Kluwer Academic Publishers, 1994; 69–113.

    Google Scholar 

  103. Verger C, Larpent L and Dumontet M. Prognostic value of peritoneal equilibration curves in CAPD patients. In Maher JF and Winchester JF, editors. Frontiers in peritoneal dialysis. New York, Field, Rich and Associates, 1986; 88–93.

    Google Scholar 

  104. Twardowski ZJ, Nolph KD, Khanna R et al. Peritoneal equilibration test. Perit Dial Bull 1987; 7:138–47.

    Google Scholar 

  105. Gotch FA and Keen ML. Kinetic modeling in peritoneal dialysis. In Nissenson AR, Fine RN and Gentile DE, editors. Clinical dialysis, 3rd ed. Norwalk, CT. Appleton & Lange, 1995; 343–75.

    Google Scholar 

  106. Twardowski ZJ. Clinical value of standardized equilibration tests in CAPD patients. Blood Purif 1989; 7:95–108.

    PubMed  CAS  Google Scholar 

  107. Twardowski ZJ. New approaches to intermittent peritoneal dialysis therapies. In Nolph KD, editor. Peritoneal dialysis, 3rd edn. Dordrecht, Kluwer Academic Publishers, 1989; 133–51.

    Google Scholar 

  108. Schmidt LM, Prowant BF. How to do a peritoneal equilibration test. ANNA J 18:368–70.

    Google Scholar 

  109. Diaz-Buxo JA. Peritoneal permeability in selecting peritoneal dialysis modalities. Perspectives in peritoneal dialysis 1988; 5:6–10.

    Google Scholar 

  110. Warady BA, Alexander SR, Hossli S et al. Peritoneal membrane transport function in children receiving longterm dialysis. J Am Soc Nephrol 1996: 7:2385–91.

    PubMed  CAS  Google Scholar 

  111. Twardowski ZJ, Khanna R and Nolph KD. Peritoneal dialysis modifications to avoid CAPD drop-out. Adv Cont Ambul Perit Dial 1987; 3:171–8.

    Google Scholar 

  112. Twardowski ZJ. PET — A simpler approach for determining prescriptions for adequate dialysis therapy. Adv Perit Dial 1990; 6:186–91.

    PubMed  CAS  Google Scholar 

  113. Vonesh EF, Burkart J, McMurray SD and Williams PF. Peritoneal dialysis kinetic modeling: validation in a multicenter clinical study. Perit Dial Int 1996; 16:471–81.

    PubMed  CAS  Google Scholar 

  114. Burkart JM, Jordan JR and Rocco MV. Assessment of dialysis dose by measured clearance versus extrapolated data. Perit Dial Int 1993; 13:184–88.

    PubMed  CAS  Google Scholar 

  115. Ponferrada L, Moore H, Van Stone J and Prowant B. Is there an alternative dialysate sampling method for Kt/V determination in CAPD patients (abstract). ANNA J 20:281.

    Google Scholar 

  116. Health Care Financing Administration. 1997 annual report, end stage renal disease core indicators project. Baltimore: Department of Health and Human Services, Health Care Financing Administration, Office of Clinical Standards and Quality, December 1997.

    Google Scholar 

  117. Diaz-Buxo JA. Enhancement of peritoneal dialysis: the PD plus concept. Am J Kidney Dis 1996; 92–8.

    Google Scholar 

  118. Teehan BP, Schleifer CR, Brown JM, Sigler MH and Raimondo J. Urea kinetic analysis and clinical outcome on CAPD. A five year longitudinal study. Adv Perit Dial 1990; 6:181–5.

    PubMed  CAS  Google Scholar 

  119. Spiegel DM, Anderson M, Campbell U et al. Serum albumin: a marker for morbidity in peritoneal dialysis patients. Am J Kidney Dis 1993; 21:26–30.

    PubMed  CAS  Google Scholar 

  120. Blake PG, Flowerdew G, Blake RM and Oreopoulos DG. Serum albumin in patients on continuous ambulatory peritoneal dialysis — predictors and correlations with outcomes. J Am Soc Nephrol 1993; 3:1501–7.

    PubMed  CAS  Google Scholar 

  121. Pollock CA, Allen BJ, Warden RA et al. Total-body nitrogen by neutron activation in maintenance dialysis. Am J Kidney Dis 1990; 16:38–45.

    PubMed  CAS  Google Scholar 

  122. Sreedhara R, Avram MM, Blanco M, Batish R, Avram MM and Mittman N. Prealbumin is the best nutritional predictor of survival in hemodialysis and peritoneal dialysis. Am J Kidney Dis 1996; 28:937–42.

    PubMed  CAS  Google Scholar 

  123. Chertow GM and Lazarus JM. Malnutrition as a risk factor for morbidity and mortality in maintenance dialysis patients. In Kopple JD and Massry SG, editors. Nutritional management of renal disease. Baltimore, Williams & Wilkins 1997; 257–76.

    Google Scholar 

  124. Gamba G. Mejia JL, Saldivar S, Pena JC and Correa-Rotter R. Death risk in CAPD patients. Nephron 1993; 65:23–7.

    PubMed  CAS  Google Scholar 

  125. Spiegel DM and Breyer JA. Serum albumin: a predictor of long-term outcome in peritoneal dialysis patients. Am J Kidney Dis 1994; 23:283–5.

    PubMed  CAS  Google Scholar 

  126. Avram MM, Goldwasser P, Erroa M and Fein PA. Predictors of survival in continuous ambulatory peritoneal dialysis patients: the importance of prealbumin and other nutritional and metabolic markers. Am J Kidney Dis 1994; 23:91–8.

    PubMed  CAS  Google Scholar 

  127. Lindholm B and Bergström J. Nutritional management of patients undergoing peritoneal dialysis. In Nolph, KD, editor. Peritoneal dialysis, 3rd edn. Dordrecht, Kluwer Academic Publishers, 1989; 230–60.

    Google Scholar 

  128. Marckmann P. Nutritional status of patients on hemodialysis and peritoneal dialysis. Clin Nephrol 1988; 29:75–8.

    PubMed  CAS  Google Scholar 

  129. Lindholm B and Bergström J. Nutritional aspects on peritoneal dialysis. Kidney Int 1992; 42:S165–71.

    Google Scholar 

  130. Schilling H, Wu G, Pettit J et al. Nutritional status of patients on long-term CAPD. Perit Dial Int 1985; 5:12–18.

    Google Scholar 

  131. Fenton SSA, Johnston N, Delmore T et al. Nutritional assessment of continuous ambulatory peritoneal dialysis patients. Trans Am Soc Artif Intern Organs 1987; 33:650–3.

    CAS  Google Scholar 

  132. Young GA, Kopple JD, Lindholm B et al. Nutritional assessment of continuous ambulatory peritoneal dialysis patients: an international study. Am J Kidney Dis 1991; 17:462–71.

    PubMed  CAS  Google Scholar 

  133. Wolfson M. Causes, manifestations, and assessment of malnutrition in chronic renal failure. In Kopple JD and Massry SG, editors. Nutritional management of renal disease. Baltimore, Williams & Wilkins, 1997: 245–56.

    Google Scholar 

  134. Dombros NV, Digenis GE and Oreopoulos DG. Nutritional markers as predictors of survival in patients on CAPD. Perit Dial Int 1995; 15(No.5 Suppl.):S10–19.

    Google Scholar 

  135. Bargman JM. The rationale and ultimate limitations of urea kinetic modelling in the estimation of nutritional status. Per Dial Int 1996; 16:347–51.

    CAS  Google Scholar 

  136. Ikizler TA, Wingard RL and Hakim RM. Malnutrition in peritoneal dialysis patients: etiologic factors and treatment options. Perit Dial Int 1995; 15(No.5 Suppl.):S63–6.

    Google Scholar 

  137. Heimbürger O, Lindholm B and Bergström J. Nutritional effects and nutritional management of chronic peritoneal dialysis. In Kopple JD and Massry SG, editors. Nutritional management of renal disease. Baltimore, Williams & Wilkins, 1997; 619–68.

    Google Scholar 

  138. Nolph KD, Moore HL, Prowant B et al. Cross sectional assessment of weekly urea and creatinine clearances and indices of nutrition in continuous ambulatory peritoneal dialysis patients. Perit Dial Int 1993; 13:178–83.

    PubMed  CAS  Google Scholar 

  139. Kagan A, Bar-Khayim Y, Schafe Z et al. Heterogeneity in peritoneal transport during continuous ambulatory peritoneal dialysis and its impact on ultrafiltration, loss of macromolecules and plasma level or proteins, lipids and lipoproteins. Nephron 1993; 63:32–42.

    Article  PubMed  CAS  Google Scholar 

  140. Struijk DG, Krediet RT, Koomen GCM et al. Functional characteristics of the peritoneal membrane in long term continuous ambulatory peritoneal dialysis. Nephron 1991; 59:213–20.

    PubMed  CAS  Google Scholar 

  141. Burkart JM. Effect of peritoneal dialysis prescription and peritoneal membrane transport characteristics on nutritional status. Perit Dial Int 1995; (No.5 Suppl.):S20–35.

    Google Scholar 

  142. Malhotra D, Tzamaloukas AH, Murata GH, Fox L, Goldman RS and Avasthi PS. Serum albumin in continuous peritoneal dialysis: Its predictors and relationship to urea clearance. Kidney Int 1996; 50:243–9.

    PubMed  CAS  Google Scholar 

  143. Churchill DN, Thorpe KE, Nolph KD, Keshaviah PR, Oreopoulos DG and Pagé D for the Canada-USA (CA-NUSA) peritoneal dialysis study group. Increased peritoneal membrane transport is associated with decreased patient and technique survival for continuous ambulatory peritoneal dialysis patients.

    Google Scholar 

  144. Schmicker R. Nutritional treatment of hemodialysis and peritoneal dialysis patients. Artificial Organs 1995; 19:837–41.

    PubMed  CAS  Google Scholar 

  145. Schreiber MJ Jr. Nutrition and dialysis adequacy. Per Dial Int 1995; 15(No.5 Suppl.):S39–49.

    Google Scholar 

  146. Lowrie EG. Chronic dialysis treatment: clinical outcome and related processes of care. Am J Kidney Dis 1994; 255–66.

    Google Scholar 

  147. Daines MM, Wilkens K and Cheney C. Comparison of 1983 and 1992 renal dietitian staffing levels with patient morbidity and mortality. J Renal Nutrition 1996; 6:94–102.

    Google Scholar 

  148. Kopple JD. Uses and limitations of growth factors in renal failure. Perit Dial Int 1996; S63–6.

    Google Scholar 

  149. Soliman G and Oreopoulos DG. Anabolic steroids and malnutrition in chronic renal failure. Perit Dial Int 1994; 362 5.

    Google Scholar 

  150. Dombros NV, Digenis GE, Soliman G and Oreopoulos DG. Anabolic steroids in the treatment of malnourished CAPD patients: a retrospective study. Perit Dial Int 1994; 14:344–7.

    PubMed  CAS  Google Scholar 

  151. Walls J. Metabolic acidosis and uremia. Perit Dial Int 1995; (No.5 Suppl.):S36–8.

    Google Scholar 

  152. Graham KA, Reaich D, Channon SM el al. Correction of acidosis in CAPD decreases whole body protein degradation. Kidney Int 1996; 49:1396–400.

    PubMed  CAS  Google Scholar 

  153. McGriff C, Goodman D, Ting Ko W et al. CQI process decreases malnutrition in peritoneal dialysis patient population (abstract). Perit Dial Int 1996; 16(Suppl. 1):S85.

    Google Scholar 

  154. Sasak C. Patient participation in a CQI process to improve serum albumin. Presentation at the 18th Annual PD Conference, Nashville, TN, February 25, 1998.

    Google Scholar 

  155. Health Care Financing Administration. Highlights from the 1995 ESRD core indicators project for peritoneal dialysis patients. Baltimore, Department of Health and Human Services, Health Care Financing Administration, Office of Clinical Standards and Quality, May 1996.

    Google Scholar 

  156. Health Care Financing Administration. Highlights from the 1996 ESRD core indicators project for peritoneal dialysis patients. Baltimore, Department of Health and Human Services, Health Care Financing Administration, Office of Clinical Standards and Quality, January 1997.

    Google Scholar 

  157. Health Care Financing Administration. Highlights from the 1997 ESRD core indicators project for peritoneal dialysis patients. Baltimore, Department of Health and Human Services, Health Care Financing Administration, Office of Clinical Standards and Quality, October 1997.

    Google Scholar 

  158. Rocco MV, Flanigan MJ, Beaver S et al. Report form the 1995 core indicators for peritoneal dialysis study group. Am J Kidney Dis 1997; 20:165–73.

    Google Scholar 

  159. The U.S. Renal Data System. USRDS 1997 annual data report. Bethesda, MD, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, April 1997.

    Google Scholar 

  160. D’Apice AJF and Atkins RC. Analysis of peritoneal dialysis data. In Atkins RC, Thomson NM and Farrell PC, editors. Peritoneal dialysis, Edinburgh, Churchill Livingstone, 1981:440–4.

    Google Scholar 

  161. Corey P. An approach to the statistical analysis of peritonitis data from patients on CAPD. Perit Dial Bull 1981; l:S29–32.

    Google Scholar 

  162. Pierratos A, Amair P, Corey P, Vas SI, Khanna R and Oreopoulos DG. Statistical analysis of the incidence of peritonitis on continuous ambulatory peritoneal dialysis. Perit Dial Bull 1982; 2:32–6.

    Google Scholar 

  163. Gray JS and Nickles JR. Improving infection control in a PD unit. Nephrol News Iss 1995; 9:14–18.

    CAS  Google Scholar 

  164. Benson B and Lutz N. CQI process helps identify patient training as a requirement for improving peritonitis management (abstract). Perit Dial Int 1997; 17(Suppl. 1):S42.

    Google Scholar 

  165. Pagnotta-Lee R, Hershfeld S, Fitzsimmmons D and Manners D. Implementing changes in a PD program to improve peritonitis rates (abstract). Perit Dial Int 1998;18(Suppl. 1):S33.

    Google Scholar 

  166. Hall G., Lee S, Davachi F et al. Continuous quality improvement (CQI) process helps to improve peritonitis rates (abstract). Perit Dial Int 1998; 18(Suppl. 1):S58.

    Google Scholar 

  167. Holland LP. Implementation of a quality improvement (QI) audit to improve episodes of peritonitis (EOP) (abstract). Perit Dial Int 1998; 18(Suppl. 1):S58.

    Google Scholar 

  168. Street JK, Krupka DL, Broda L et al. Utilizing the CQI process to decrease episodes of peritonitis (abstract). Perit Dial Int 1998; 18(Suppl. 1):S59.

    Google Scholar 

  169. Chemleski B, Enrico R, Montes P et al. Continuous quality improvement (CQI) demonstration project: peritonitis rate in the home dialysis unit (abstract). Perit Dial Int 1996; 16(Suppl. 2):S84.

    Google Scholar 

  170. Thompson MC and Speaks DD. Exit site infections reduced through CQI exit site care study (abstract). Perit Dial Int 1997; 17(Suppl. 1):S46.

    Google Scholar 

  171. Boorgu NR and Liles V. CQI initiated focusing on exit-site infection (abstract). Perit Dial Int 1998; 18(Suppl. 1):S59.

    Google Scholar 

  172. Martin P, McGauvran J and Reimer L. CQI impacts exitsite infection (abstract). Perit Dial Int 1998; 18(Suppl. 1): S59.

    Google Scholar 

  173. Wageman J, Martin M, Mathews M et al. CQI impacts peritoneal dialysis adequacy (abstract). Perit Dial Int 1997; 17(Suppl. 1):S77.

    Google Scholar 

  174. Zilber M, Bander S and Marion R. Applying the CQI process to improve adequacy outcomes (abstract). Perit Dial Int 1997; 17(Suppl. 1):S78.

    Google Scholar 

  175. Alvarado N, Mendez N, Roberts BW and Dukes C. CQI process helps improve dialysis adequacy in adult and pediatric peritoneal dialysis population (abstract). Perit Dial Int 1997; 17(Suppl. 1):S12.

    Google Scholar 

  176. Quinonez IM, Bencomo ME, Candelaria G, Hage D and Olsen K. CQI process helps define relationship between PD adequacy and dialysis-related hospitalizations and dropout rate (abstract). Perit Dial Int 1997; 17(Suppl. 1):S21.

    Google Scholar 

  177. Richmond DJS, Poseno M, Shea S, Schultz K, Kutchey C and Smith P. What can we do to improve Kt/V’s? (abstract). Perit Dial Int 1997; 17(Suppl. 1):S22.

    Google Scholar 

  178. Viker D, Gill P, Faley G, Hartvikson S, Morrissey M. Improving adequacy markers utilizing the CQI process (abstract). Perit Dial Int 1997; 17(Suppl. 1):S25.

    Google Scholar 

  179. Hebah N. The challenge to improve adequacy markers in noncompliant PD patients (abstract). Perit Dial Int 1998; 18(Suppl. 1):S17.

    Google Scholar 

  180. Brothers SE, Saylor ZE, Heacock PM et al. Continuous quality improvement of peritoneal dialysis: improving adequacy through patient and staff education (abstract). Perit Dial Int 1998; 18(Suppl. 1):S57.

    Google Scholar 

  181. Faley G, and Viker DM. Restructuring patient training to improve patient outcomes (abstract). Perit Dial Int 1998: 18(Suppl. l):S60.

    Google Scholar 

Download references

Authors
  1. Barbara F. Prowant
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Karl D. Nolph
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Leonor Ponferrada
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ramesh Khanna
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Zbylut J. Twardowski
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Baxter Healthcare Corporation, McGaw Park, IL, USA

    Lee W. Henderson

  2. Baxter Healthcare Corporation, Roundlake, IL, USA

    Richard S. Thuma

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Kluwer Academic Publishers

About this chapter

Cite this chapter

Prowant, B.F., Nolph, K.D., Ponferrada, L., Khanna, R., Twardowski, Z.J. (1999). Quality in peritoneal dialysis: achieving improving outcomes. In: Henderson, L.W., Thuma, R.S. (eds) Quality Assurance in Dialysis. Developments in Nephrology, vol 39. Springer, Dordrecht. https://doi.org/10.1007/978-0-585-28312-8_21

Download citation

  • DOI: https://doi.org/10.1007/978-0-585-28312-8_21

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-0-7923-5281-5

  • Online ISBN: 978-0-585-28312-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation