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Nephrology Dialysis Transplantation 2006 21(Supplement 2):ii34-ii37; doi:10.1093/ndt/gfl188
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Adequacy of peritoneal dialysis and the importance of preserving residual renal function

A. W. L. van den Wall Bake1, J. P. Kooman2, J. M. Lange3 and W. Smit4

1 Maxima Medisch Centrum, Veldhoven, 2 University Hospital Maastricht, The Netherlands, 3 Medical Affairs, Baxter Terpol sp. z o.o, Poland and 4 Academisch Medisch Centrum, Amsterdam, The Netherlands

Correspondence and offprint requests to: Dr A. W. L. van den Wall Bake, Maxima Medisch Centrum, Dialysis Department, De Run 4600, 5504 DB Veldhoven, The Netherlands. Email: A.vandenwallbake{at}mmc.nl

The well-being and survival of dialysis patients not only depend on the removal of waste products and excess fluid, but also on the prevention of cardiovascular complications by maintaining normovolaemia and adequate blood pressure and avoidance of ectopic calcification. Also, the maintenance of nutritional status and adequate removal of middle molecules are amongst the most important issues in long-term renal replacement therapy. In this review, attention is given to optimal peritoneal small solute clearance and Kt/V and to the evidence concerning the role of residual renal function. In addition, factors that can influence this residual function are also discussed.

Keywords: adequacy; Kt/V; residual renal function; peritoneal dialysis


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