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Continuous Ambulatory Peritoneal Dialysis in End-Stage Diabetic Nephropathy

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Book cover Diabetic Nephropathy

Part of the book series: Developments in Nephrology ((DINE,volume 9))

Abstract

Centers throughout North America are experiencing a remarkable rise in the proportion of newly diagnosed diabetic uremic patients requiring kidney replacement treatment [1–3]. Approximately 30% of all insulin-dependent (type I) diabetic patients die of renal failure. In the United States each year by conservative estimate, between 2,500 and 3,200 diabetics die of kidney disease [4]. Despite this large number, a decade ago diabetics with uremia comprised only 1–7% of all patients accepted for dialysis in Europe and the United States [5, 6]. These patients were excluded from dialysis for reasons that were multiple and complex, but the most important factors were the uniformly poor outcome of dialysis and transplantation [7–16], and the progressive deterioration of visual function. By 1978, however, due to technical advances in hemodialysis and better understanding of the factors contributing to the progression of diabetic complications, survival among chronically hemodialysed diabetics improved considerably [17–20].

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Authors
  1. Ramesh Khanna
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  2. Dimitrios G. Oreopoulos
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Editors and Affiliations

  1. Division of Renal Disease, State University of New York, Downstate Medical Center, Brooklyn, New York, 11203, USA

    Eli A. Friedman M.D. (Professor of Medicine, Chief) (Professor of Medicine, Chief)

  2. Sansum Medical Research Foundation, Santa Barbara, 93105, California, USA

    Charles M. Peterson M.D. (Director of Research) (Director of Research)

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© 1986 Martinus Nijhoff Publishing, Boston

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Khanna, R., Oreopoulos, D.G. (1986). Continuous Ambulatory Peritoneal Dialysis in End-Stage Diabetic Nephropathy. In: Friedman, E.A., Peterson, C.M. (eds) Diabetic Nephropathy. Developments in Nephrology, vol 9. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2287-0_7

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