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Article: Dialysis adequacy of Asian patients receiving small volume continuous ambulatory peritoneal dialysis

TitleDialysis adequacy of Asian patients receiving small volume continuous ambulatory peritoneal dialysis
Authors
KeywordsCAPD
Chinese
Dialysate volume
Dialysis adequacy
Kt/V
Issue Date1997
PublisherWichtig Editore srl. The Journal's web site is located at http://www.artificial-organs.com
Citation
International Journal Of Artificial Organs, 1997, v. 20 n. 8, p. 428-435 How to Cite?
AbstractThe usage of three x 2 liter daily exchanges is adopted as the standard CAPD regime in Hong Kong over the last 10 years due to budgetary constraint. This dialysis prescription is considered suboptimal in Western standard. However, the necessity of maintaining Kt/V > 1.7 for CAPD dialysis adequacy is not unanimously agreed. We performed a cross-sectional study of 117 patients on CAPD. Seventy-eight percent of our patients had 3 x 2 liter daily exchange while the rest had 4 daily exchanges. Fifteen percent of patients were diabetic. Patients with Kt/V < 1.7 were similar to those with Kt/V > 1.7 in age, duration of CAPD, BUN, plasma creatinine, albumin, peritonitis rate, and incidence of hypertension. Patients with Kt/V ≤ 1.7 had higher hemoglobin, higher nPCR, more residual renal function; and more of them received 4 daily exchanges. Their peritoneal permeability did not differ. Their employment and rehabilitation status was also similar. Our 5-year survival was 79% despite a lower Kt/V. Notably, the protein catabolic rate of our patients was higher than that in Western patients. This is likely due to dietary difference. Our study suggests small-volume dialysis may be acceptable in Asian population with smaller body size given the financial constraint.
Persistent Identifierhttp://hdl.handle.net/10722/76549
ISSN
2015 Impact Factor: 1.005
2015 SCImago Journal Rankings: 0.585
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSzeto, CCen_HK
dc.contributor.authorLai, KNen_HK
dc.contributor.authorYu, AWYen_HK
dc.contributor.authorLeung, CBen_HK
dc.contributor.authorHo, KKLen_HK
dc.contributor.authorMak, TWLen_HK
dc.contributor.authorLi, PKTen_HK
dc.contributor.authorLam, CWKen_HK
dc.date.accessioned2010-09-06T07:22:25Z-
dc.date.available2010-09-06T07:22:25Z-
dc.date.issued1997en_HK
dc.identifier.citationInternational Journal Of Artificial Organs, 1997, v. 20 n. 8, p. 428-435en_HK
dc.identifier.issn0391-3988en_HK
dc.identifier.urihttp://hdl.handle.net/10722/76549-
dc.description.abstractThe usage of three x 2 liter daily exchanges is adopted as the standard CAPD regime in Hong Kong over the last 10 years due to budgetary constraint. This dialysis prescription is considered suboptimal in Western standard. However, the necessity of maintaining Kt/V > 1.7 for CAPD dialysis adequacy is not unanimously agreed. We performed a cross-sectional study of 117 patients on CAPD. Seventy-eight percent of our patients had 3 x 2 liter daily exchange while the rest had 4 daily exchanges. Fifteen percent of patients were diabetic. Patients with Kt/V < 1.7 were similar to those with Kt/V > 1.7 in age, duration of CAPD, BUN, plasma creatinine, albumin, peritonitis rate, and incidence of hypertension. Patients with Kt/V ≤ 1.7 had higher hemoglobin, higher nPCR, more residual renal function; and more of them received 4 daily exchanges. Their peritoneal permeability did not differ. Their employment and rehabilitation status was also similar. Our 5-year survival was 79% despite a lower Kt/V. Notably, the protein catabolic rate of our patients was higher than that in Western patients. This is likely due to dietary difference. Our study suggests small-volume dialysis may be acceptable in Asian population with smaller body size given the financial constraint.en_HK
dc.languageengen_HK
dc.publisherWichtig Editore srl. The Journal's web site is located at http://www.artificial-organs.comen_HK
dc.relation.ispartofInternational Journal of Artificial Organsen_HK
dc.subjectCAPDen_HK
dc.subjectChineseen_HK
dc.subjectDialysate volumeen_HK
dc.subjectDialysis adequacyen_HK
dc.subjectKt/Ven_HK
dc.titleDialysis adequacy of Asian patients receiving small volume continuous ambulatory peritoneal dialysisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0391-3988&volume=20&spage=428&epage=435&date=1997&atitle=Dialysis+adequacy+of+Asian+patients+receiving+small+volume+continuous+ambulatory+peritoneal+dialysisen_HK
dc.identifier.emailLai, KN: knlai@hku.hken_HK
dc.identifier.authorityLai, KN=rp00324en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid9323505-
dc.identifier.scopuseid_2-s2.0-0030773847en_HK
dc.identifier.hkuros41497en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030773847&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume20en_HK
dc.identifier.issue8en_HK
dc.identifier.spage428en_HK
dc.identifier.epage435en_HK
dc.identifier.isiWOS:A1997XY83600004-
dc.publisher.placeItalyen_HK
dc.identifier.scopusauthoridSzeto, CC=35495407200en_HK
dc.identifier.scopusauthoridLai, KN=7402135706en_HK
dc.identifier.scopusauthoridYu, AWY=7401478900en_HK
dc.identifier.scopusauthoridLeung, CB=16750769500en_HK
dc.identifier.scopusauthoridHo, KKL=15850509100en_HK
dc.identifier.scopusauthoridMak, TWL=8446415900en_HK
dc.identifier.scopusauthoridLi, PKT=25928016800en_HK
dc.identifier.scopusauthoridLam, CWK=8531362100en_HK

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