Peritoneal Dialysis: How Much Is Adequate and How Can We Improve?

Clinical Practice Session

https://www.asn-online.org/education/kidneyweek/2023/program-session-details.aspx?sessId=452165

Session Description

The International Society for Peritoneal Dialysis in 2020 concluded that there is no high-quality evidence to use urea or creatinine peritoneal clearance to assess dialysis adequacy. These updated guidelines recommend prescribing peritoneal dialysis to maintain quality of life and limit symptoms of patients rather than target the removal of urea or creatinine. This session discusses the data that prompted the updated guidelines and other means to assess adequacy and individualize treatment.

ASN thanks the ASN Home Dialysis Steering Committee for assistance with this session.

Learning Objective(s)

• Discuss the history of peritoneal dialysis adequacy and the data that provided the basis for the updated guidelines
• Specify the various methods of assessing quality of life
• Describe the efficiency of peritoneal dialysis in clearing solutes other than urea
• Outline ways to individualize peritoneal dialysis prescriptions based on residual kidney function

Learning Pathway(s)

• Dialysis

Moderators

• Rafia I. Chaudhry, MD, FASN
• Thomas A. Golper, MD, FASN