Follow-up of Transfer from CAPD/CCPD

Abstract

The National CAPD Registry has reported that 20% of patients beginning CAPD/CCPD will have transferred to other modalities within one year[1].While available Registry data do provide a variety of explanations for such transfers, they do not clearly distinguish among biochemical inadequacy of peritoneal dialysis, patients inability to cope with self-care procedures, patient preference for other dialysis or non-dialysis approaches, and availability of a transplant. Further, there are no follow-up data on CAPD dropouts to indicate whether or not they subsequently remain on hemodialysis, go to alternative treatments, return to peritoneal dialysis or undergo transplantation. Similarly, it has not been clear, whether those patients who failed transplantation return to peritoneal dialysis or go to hemodialysis.