International Journal of Nephrology and Renovascular Disease (Oct 2021)
Automated Peritoneal Dialysis: Patient Perspectives and Outcomes
Abstract
Alessandro Domenici,1 Anna Giuliani2 1Department of Clinical and Molecular Medicine, “Sapienza” University, Sant’Andrea Hospital, Nephrology and Dialysis Unit, Rome, Italy; 2Department of Nephrology Dialysis and Transplantation, San Bortolo Hospital, Vicenza, ItalyCorrespondence: Alessandro DomeniciDepartment of Clinical and Molecular Medicine, “Sapienza” University, Sant’Andrea Hospital, Nephrology and Dialysis Unit, via di Grottarossa 1035-1039, Rome, 00189, ItalyTel +39 6 33775967Fax +39 6 33775320Email [email protected]: A steadily increasing number of end stage kidney disease (ESKD) patients are maintained on automated peritoneal dialysis (APD) worldwide, in long-standing as well as in more recently established peritoneal dialysis (PD) programs. A better understanding of the technique, paralleled by progress in involved technology, sustained this growth to the point that APD has become the prevalent mode of PD delivery in most high-income countries. While APD is now regarded to be at least as efficient as continuous ambulatory peritoneal dialysis (CAPD) with regard to major biomedical outcomes, its impact on patient-reported outcomes has been less investigated. This paper reviews the main outcomes of APD from a clinical point of view and from the person on dialysis perspective.Keywords: cycler, intraperitoneal pressure, quality of life, prescription, tidal, ultrafiltration
