APD or CAPD: One Glove Does Not Fit All

Overview

Journal Int Urol Nephrol

Publisher Springer

Specialty Nephrology

Date 2020 Oct 14

PMID 33051854

Citations 14

Authors

Athanasios Roumeliotis

Stefanos Roumeliotis

Konstantinos Leivaditis

Marios Salmas

Theodoros Eleftheriadis

Vassilios Liakopoulos

Affiliations

Soon will be listed here.

Abstract

The use of Automated Peritoneal Dialysis (APD) in its various forms has increased over the past few years mainly in developed countries. This could be attributed to improved cycler design, apparent lifestyle benefits and the ability to achieve adequacy and ultrafiltration targets. However, the dilemma of choosing the superior modality between APD and Continuous Ambulatory Peritoneal Dialysis (CAPD) has not yet been resolved. When it comes to fast transporters and assisted PD, APD is certainly considered the most suitable Peritoneal Dialysis (PD) modality. Improved patients' compliance, lower intraperitoneal pressure and possibly lower incidence of peritonitis have been also associated with APD. However, concerns regarding increased cost, a more rapid decline in residual renal function, inadequate sodium removal and disturbed sleep are APD's setbacks. Besides APD superiority over CAPD in fast transporters, the other medical advantages of APD still remain controversial. In any case, APD should be readily available for all patients starting PD and the most important indication for its implementation remains patient's choice.

Citing Articles

A comparison of health-related quality of life between continuous ambulatory peritoneal dialysis and automated peritoneal dialysis in children with stage 5 chronic kidney disease in Thailand: a randomized controlled trial.

Thavorncharoensap M, Chaikledkaew U, Youngkong S, Assanatham M, Wisanuyotin S, Chaiyapak T Pediatr Nephrol. 2025; .

PMID: 39833615 DOI: 10.1007/s00467-024-06632-x.

Resistant and Apparently Resistant Hypertension in Peritoneally Dialyzed Patients.

Symonides B, Kwiatkowska-Stawiarczyk M, Lewandowski J, Malyszko J, Malyszko J J Clin Med. 2025; 14(1.

PMID: 39797299 PMC: 11721173. DOI: 10.3390/jcm14010218.

Carotid intima-media thickness, fibroblast growth factor 23, and mineral bone disorder in children with chronic kidney disease.

Palupi-Baroto R, Hermawan K, Murni I, Nurlita T, Prihastuti Y, Puspitawati I BMC Nephrol. 2024; 25(1):369.

PMID: 39433982 PMC: 11494757. DOI: 10.1186/s12882-024-03771-z.

Lost dwell time and cycler alarms in inpatient automated peritoneal dialysis at a tertiary care hospital.

Browne M, Elavia N, Flowers A, Petho A, Ejaz A, Khan S Ren Fail. 2024; 46(2):2408432.

PMID: 39352771 PMC: 11445918. DOI: 10.1080/0886022X.2024.2408432.

A Randomized Controlled Trial Comparing Automated Peritoneal Dialysis and Hemodialysis for Urgent-Start Dialysis in ESRD.

Jin H, Fang W, Wang L, Zang X, Deng Y, Wu G Kidney Int Rep. 2024; 9(9):2627-2634.

PMID: 39291207 PMC: 11403029. DOI: 10.1016/j.ekir.2024.06.032.

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