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Maiorca R, Brunori G, Zubani R, Cancarini GC, Manili L, Camerini C, Movilli E, Pola A, d'Avolio G, Gellati U: Predictive value of dialysis adequacy and nutritional indices for mortality and morbidity In CAPD and HD patients: a longitudinal study. Nephrol Dial Transplant 1995, 10:2295-2305. This is a 3-year prospective study in CAPD and haemodialysis patients, assessing outcomes (morbidity and survival) in relation to pretreatmant risk factors, adequacy, residual renal function and nutritional status. Patients were already on dialysis and were followed up for 3 years. Survival was linked to residual renal function, but not to normalized protein catabolic rate. The equivalence of KT/V on CAPD and haemodialysis was assessed.
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Harty J, Venning M, Gokal R: Does CAPD guarantee adequate dialysis delivery and nutrition? Nephrol Dial Transplant 1994, 9:1721-1723.
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Blake PG, Floyd K, Spanner E, Peters K: How much extra does "adequate" peritoneal dialysis cost? Perit Dial Int 1996, 16(suppl): S171-S175. There is a considerable cost implication in achieving higher targets of solute clearance, especially with the use of ambulatory peritoneal dialysis. These are clearly illustrated using actual regimes as practised in the authors' unit.
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Jindal KK, Hirsch JJ: Long term peritoneal dialysis in the absence of residual renal function. Perit Dial Int 1996, 16:78-80. Manipulation of dialysis prescription can allow successful peritoneal dialysis even in large anuric patients. There is an increase in the complexity of the regimen and on impact on the quality of life but a good outcome with patient survival rate of 66% at 3 years.
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Perit Dial Int
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Brandes JC, Packard WJ, Watters SK, Fritsche C: Optimization of dialysate flow and mass transfer during automated peritoneal dialysis. Am J Kidney Dis 1995, 25:603-610. To optimize ambulatory peritoneal dialysis the authors provide evidence showing that exchanges should be done in the supine position and to shorten the drain time to include only the initial segment of the outflow. This improves the efficiency and the convenience.
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