Incremental dialysis for preserving residual kidney function-Does one size fit all when initiating dialysis?

Incremental peritoneal dialysis: Clinical outcomes and residual kidney function preservation.

INTRODUCTION Initiation of peritoneal dialysis (PD) with 3 exchanges has become common practice in recent years, despite the lack of published clinical data. OBJECTIVE To describe experience with incremental peritoneal dialysis (IPD) at a single site. MATERIAL AND METHODS A total of 46 IPD patients undergoing 2-year clinical, laboratory, treatment and progression follow-up. RESULTS To 25%...

Does one size fit all?

Strategies for preserving residual renal function in peritoneal dialysis patients

Although there have been many advancements in the treatment of patients with chronic kidney disease (CKD) over the last 50 years, in terms of reducing cardiovascular risk, mortality remains unacceptably high, particularly for those patients who progress to stage 5 CKD and initiate dialysis (CKD5d). As mortality risk increases exponentially with progressive CKD stage, the question arises as to w...

When One Size Doesn't Fit All.

There are few things in this world that we buy and use that don’t require some form of variation or customization to achieve a satisfactory outcome or experience. Whether it’s cars, clothing, or cooking oils, personal experience and comfort level are important factors in arriving at the right choice. I’ve worked in pharmacy clinical decision support at several database companies over the years,...

A1C: does one size fit all?

D iabetes specialists almost uniformly nod their heads when I ask whether they see patients whose A1C results don't match their blood glucose monitoring data. Providers used to attribute that to unreliability of the monitors or the patient records, but technological advances overcame those barriers. Some mis-matches can be attributed to inadequate temporal distribution of glucose sampling , and...