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.
KeywordsCatheter Phosphorus Urea Creatinine Peritonitis
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