Comparison of CAPD and CCPD in Children

  • R. J. Hogg
  • G. M. Lum
  • W. Arnold
  • Southwest Pediatric Nephrology Study Group

Abstract

The optimal choice of chronic dialysis therapy for uremic children continues to be a subject of great interest and concern. Although technical aspects of dialysis in children have improved significantly over the past ten years, continued efforts to minimize complications and increase therapeutic benefits for the pediatric patient remain a considerable challenge. The major aim of dialysis in children should be the use of well-tolerated, simple procedures that produce an improved state of well-being in the patient and, most importantly, allow for normal growth and development. The techniques of continuous, long-dwell peritoneal dialysis (continuous ambulatory [CAPD] or continuous cycling [CCPD] peritoneal dialysis) have of late received a great deal of attention and application [1–8], and the reported therapeutic benefits of CAPD and CCPD have led to an evaluation of these two techniques in children with end-stage renal disease (ESRD). Recent reports have revealed variable results in children treated with CAPD [9–15] and indicate that evaluation of greater numbers of children is needed to determine the actual benefits to be gained for children undergoing the different forms of prolonged-dwell peritoneal dialysis. The present report summarizes the collaborative studies of the pediatric nephrologists who comprise the Southwest Pediatric Nephrology Study Group and addresses specific questions regarding the relative efficacy of CAPD and CCPD in a large series of children.

Keywords

Catheter Phosphorus Urea Creatinine Peritonitis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Nolph KD, Popovich RP, Moncrief JW (1978) Theoretical and practical implications of continuous ambulatory peritoneal dialysis. Nephron 21:117–122PubMedCrossRefGoogle Scholar
  2. 2.
    Popovich RP, Moncrief JW, Nolph KD, Ghods AJ, Twardowski ZJ, Pyle WK (1978) Continuous ambulatory peritoneal dialysis. Ann Intern Med 88:449–456PubMedGoogle Scholar
  3. 3.
    Popovich RP, Moncrief JW, Nolph KD (1978) Continuous ambulatory peritoneal dialysis. Artif Organs 2:84–86PubMedGoogle Scholar
  4. 4.
    Lacke C, Senekjian HO, Knight IF, Frazier M, Hatlelid R, Kozak M, Baker P, Weinman EJ (1981) Twelve months’ experience with continuous ambulatory and intermittent peritoneal dialysis. Arch Intern Med 141:187–190PubMedCrossRefGoogle Scholar
  5. 5.
    Nolph KD, Sorkin M, Rubin J, Arfania D, Prowant B, Fruto L, Kennedy D (1980) Continuous ambulatory peritoneal dialysis: three-year experience at one center. Ann Intern Med 92:609–613PubMedGoogle Scholar
  6. 6.
    Randerson DH, Farrell PC (1981) Clinical assessment of CAPD. Dial Transplant 10:389Google Scholar
  7. 7.
    Oreopoulos DG (1980) An update on the continuous ambulatory peritoneal dialysis (CAPD). Int J Artif Organs 3:231–234PubMedGoogle Scholar
  8. 8.
    Diaz-Buxo JA, Walker PJ, Chandler JT, Farmer CD, Holt KL (1981) Advances in peritoneal dialysis: continuous cyclic peritoneal dialysis. Contemp Dial Nov 23Google Scholar
  9. 9.
    Kohaut EC (1981) Continuous ambulatory peritoneal dialysis: a preliminary pediatric experience. Am J Dis Child 135:270–271PubMedGoogle Scholar
  10. 10.
    Balfe JW, Vigneaux A, Willumsen J, Hardy BE (1981) The use of CAPD in the treatment of children with end-stage renal disease. Perit Dial Bull 1:35–37Google Scholar
  11. 11.
    Fennell RS, Orak JK, Hudson T, Garin EH, Irvani A, Van Deusen WJ, Howard R, Pfaff WW, Walker RD, III, Richard GA (1984) Growth in children with various therapies for end-stage renal disease. Am J Dis Child 138:28–31PubMedGoogle Scholar
  12. 12.
    Baum M, Powell D, Calvin S, McDaid T, McHenry K, Mar H, Potter D (1982) Continuous ambulatory peritoneal dialysis in children: comparison with hemodialysis. N Engl J Med 307:1537–1542PubMedCrossRefGoogle Scholar
  13. 13.
    Kohaut EC (1983) Growth in children treated with continuous ambulatory peritoneal dialysis. Int J Pediatr Nephrol 4:93–98PubMedGoogle Scholar
  14. 14.
    Salusky IB, Lucullo L, Nelson P, Fine RN (1982) Continuous ambulatory peritoneal dialysis in children. Pediatr Clin North Am 29:1005–1012PubMedGoogle Scholar
  15. 15.
    Stefanides CJ, Hewitt IK, Balfe JW (1983) Growth in children receiving continuous ambulatory peritoneal dialysis. J Pediatr 102:681–685CrossRefGoogle Scholar
  16. 16.
    Hamill PW, Drizd TA, Johnson CL, Reed RB, Roche AF (1977) NCHS growth curves for children, birth-18 years, United States. National Center for Health Statistics 43–45, Hyatts-ville (Vital and health statistics, Series 11, Data from the National Health Survey, no 165). [DHEW Publication No. (PHS) 78-1650]Google Scholar
  17. 17.
    Wineman RJ (1983) Rationale of the National Cooperative Dialysis Study. Kidney Int 23 (Suppl 13):8–10Google Scholar
  18. 18.
    McClung MR (1983) Peritonitis in children receiving continuous ambulatory peritoneal dialysis. Pediatr Inf Dis 2:328–332CrossRefGoogle Scholar
  19. 19.
    Fine RN, Salusky IB, Hall T, Lucullo L, Jordan SC, Ettenger RB (1983) Peritonitis in children undergoing continuous ambulatory peritoneal dialysis. Pediatrics 71:806–809PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1985

Authors and Affiliations

  • R. J. Hogg
  • G. M. Lum
  • W. Arnold
  • Southwest Pediatric Nephrology Study Group

There are no affiliations available

Personalised recommendations