Advertisement

Continuous ambulatory peritoneal dialysis (CAPD) — current state in the United Kingdom

  • R. Gokal

Abstract

CAPD has gained increasing acceptance in the United Kingdom (UK) as a primary form of dialysis treatment for patients in end-stage renal failure (ESRF). The rate of increase in the number of patients on this treatment since 1979 has exceeded that of haemodialysis and of renal transplantation (Kerr, 1981). There is no doubt that CAPD provides an adequate form of dialysis treatment with a number of distinct advantages over haemodialysis. However, it does suffer from a few major problems which limit its use (Gokal et al.,1980a; Nolph et al.,1980). This paper outlines the current state of CAPD in the UK, together with the implications for the care of ESRF patients that arise from the rapid increase in the use of this technique.

Keywords

Peritoneal Dialysis Continuous Ambulatory Peritoneal Dialysis Dialysis Treatment Renal Osteodystrophy Renal Unit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Baeyer, H., Gahl, G.M., Riedinger, H., Borowzak, B. and Kessel, M. (1981). Unexpected alteration of nutritional habits in patients undergoing CAPD. In Gahl, G.M., Kessel, M. and Nolph, K. D. (eds.). Advances in Peritoneal Dialysis, pp. 408–12 ( Amsterdam: Excerpta Medica )Google Scholar
  2. Calderaro, V., Oreopoulos, D. G., Mesina, H. E., Ogilvie, R., Khanna, R., Quinton, C., Murray, T. and Carmichael, D. (1980). The evolution of renal osteodystrophy in patients undergoing CAPD. Proc. Eur. Dial. Transplant Assoc., 17, 533PubMedGoogle Scholar
  3. Delmez, J., Slatopolsky, E., Gearing, B. and Harter, H. (1980). Effects of CAPD in PTH and calcium metabolism. Abstract. Proc. Am. Soc. Nephrol., 13, 38Google Scholar
  4. Flynn, C. T. (1980). CAPD in diabetic patients. In Legrain, M. (ed.). Continuous Ambulatory Peritoneal Dialysis. pp. 187–193. ( Amsterdam: Excerpta Medica )Google Scholar
  5. Gokal, R., McHugh, M., Fryer, R., Ward, M. K. and Kerr, D. N. S. (1980a). CAPD: one year’s experience in a UK dialysis unit. Br. Med. J., 287, 474CrossRefGoogle Scholar
  6. Gokal, R., Fryer, R., McHugh, M., Ward, M.K. and Kerr, D. N. S. (1980b). Calcium and phosphate control in CAPD. In Legrain, M., (eds.). Continuous Ambulatory Peritoneal Dialysis. pp. 283–291. ( Amsterdam: Excerpta Medica )Google Scholar
  7. Godai, R., Ramos, J., McHugh, J., Ward, M. K. and Kerr, D.N.S. (1981). Hyperlipidaemia in patients on CAPD. In Gahl, G.M., Kessel, M. and Nolph, K. D. (eds.). Advances in Peritoneal Dialysis. pp. 430–433. ( Amsterdam: Excerpta Medica )Google Scholar
  8. Gokal, R., Ramos, M.J., Ward, M.K., Wilkinson, R., Elliot, W., Ellis, H.A. and Kerr, D. M. S. (1982a). 3 years experience of CAPD in a UK dialysis unit. Q. J. Med. (submitted for publication)Google Scholar
  9. Gokal, R., Ramos, J.M., Ellis, H.A., Parkinson, I., Sweetman, V., Dewar, J., Ward, M. K. and Kerr, D. N. S. (1982b). Histological renal osteodystrophy, 25 OHD3 and aluminium levels in patients on CAPD. Kidney Int.,(In press)Google Scholar
  10. Jacobs, C., Broyer, M., Brunner, F.P., Brynger, H., Donckerwolcke, R. A., Kramer, P., Selwood, N. H., Wing, A.J. and Blake, P.H. (1981). Combined report on regular dialysis and transplantation in Europe, 1980. Proc. Eur. Dial. Transplant Assoc., 18, 4PubMedGoogle Scholar
  11. Kerr, D.N.S. (1981). Dialysis strategy: cost and effectiveness. Proc. Eur. Dial. Transplant Assoc., 18, 664PubMedGoogle Scholar
  12. Mion, C., Slingeneyer, A. and Conaud, B. (1981). CAPD in France: results of a national survey and 2 years experience at one centre. In Atkins, R. C., Thomson, N. and Farrell, P.C. (eds.). Peritoneal Dialysis. pp. 126–135. ( Edinburgh: Churchill Livingstone )Google Scholar
  13. Mion, C., (1982). Experience with CAPD in France. Paper presented at Second Spanish Symposium on CAPD,March 1982. Nefrologia (In press)Google Scholar
  14. Nolph, K., Sorkin, M., Rubin, J., Arfarra, D., Prowant, B., Fruto, L. and Kennedy, D. (1980). CAPD. Three years experience. Ann. Int. Med., 92, 7PubMedGoogle Scholar
  15. Oreopoulos, D. G. (1979a) Requirements for the organisation of a CAPD pro-gramme. Nephron, 24, 261PubMedCrossRefGoogle Scholar
  16. Oreopoulos, D. G., Robson, M., Faller, B., Ogilvie, R., Rappoport, A., DeVeber, G. A. (1979b). CAPD: a new era in the treatment of chronic renal failure. Clin. Nephrol., 11, 125PubMedGoogle Scholar
  17. de Paepe, M., Lamiere, N., Schelstraete, K. and Kingoir, S. (1981). Changes in red cell mass, plasma volume and haematocrit in patients on CAPD. Proc. Eur. Dial. Transplant Assoc., 18, 286PubMedGoogle Scholar
  18. Ramos, J. M., Burke, D. A. and Veitch, P. S. (1982). Hernia of Morgagni in patients on CAPD. Lancet, 1, 162Google Scholar
  19. Randerson, D. H. and Farrell, P. C. (1981a). Analysis of peritonitis data in CAPD. In Gahl, G.M., Kessel, M. and Nolph, K. D. (eds.). Advances in Peritoneal Dialysis. pp. 265–269. ( Amsterdam: Excerpta Medica )Google Scholar
  20. Randerson, D. H. and Farrell, P.C. (1981b). Long term peritoneal clearances in CAPD In Atkins, R. C., Thomson, N.M. and Farrell, P.C. (eds.). Peritoneal Dialysis. pp. 22–29. ( Edinburgh: Churchill Livingstone )Google Scholar
  21. Roncari, D. A. K., Breckenridge, W.C., Khanna, R. and Oreopoulos, D.G. (1982). Rise in HDL-Cholesterol in some patients with CAPD. Peritoneal Dial. Bull., 1, 136Google Scholar
  22. Twadki, Z. and Janicka, L. (1981). Three exchanges with a 2.51 volume for CAPD. Kidney Int., 20, 281CrossRefGoogle Scholar
  23. Vas, S. I., Duwe, A. and Weatherhead, J. (1981). Natural defence mechanisms of the peritoneum: The effect of PD fluid on polymorphonuclear cells. In Atkins, R. C., Thomson, N. and Farrell, P.C. (eds.). Peritoneal Dialysis. pp. 41–51. ( Edinburgh: Churchill Livingstone )Google Scholar
  24. Wing, A. J., Broyer, M., Brunner, F. P., Brynger, H., Donckerwolcke, R. A., Jacobs, C., Kramer, P., Selwood, N.H. and Blake, P. H. (1981). Treatment of end stage renal failure in the United Kingdom EDTA Registry analysis. In Bradley, B and Moras, D. (eds.). UK Transplant Service Review 1981. pp. 71–94. South Western Regional Transfusion Centre, Southmead Road, Bristol, UKGoogle Scholar

Copyright information

© MTP Press Limited 1983

Authors and Affiliations

  • R. Gokal

There are no affiliations available

Personalised recommendations