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International Society for Peritoneal Dialysis practice recommendations: Prescribing high-quality goal-directed peritoneal dialysis

Brown, Edwina A.; Blake, Peter G.; Boudville, Neil; Davies, Simon; de Arteaga, Javier; Dong, Jie; Finkelstein, Fred; Foo, Marjorie; Hurst, Helen; Johnson, David W.; Johnson, Mark; Liew, Adrian; Moraes, Thyago; Perl, Jeff; Shroff, Rukshana; Teitelbaum, Isaac; Wang, Angela Yee-Moon; Warady, Bradley

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Authors

Edwina A. Brown

Peter G. Blake

Neil Boudville

Javier de Arteaga

Jie Dong

Fred Finkelstein

Marjorie Foo

Helen Hurst

David W. Johnson

Mark Johnson

Adrian Liew

Thyago Moraes

Jeff Perl

Rukshana Shroff

Isaac Teitelbaum

Angela Yee-Moon Wang

Bradley Warady



Abstract

The International Society for Peritoneal Dialysis last published a guideline on prescribing peritoneal dialysis (PD) in 2006. This focused on clearance of toxins and used a measure of waste product removal by dialysis using urea as an example. This guideline suggested that a specific quantity of small solute removal was needed to achieve dialysis ‘adequacy’. It is now generally accepted, however, that the well-being of the person on dialysis is related to many different factors and not just removal of specific toxins. This guideline has been written with the focus on the person doing PD. It is proposed that dialysis delivery should be ‘goal-directed’. This involves discussions between the person doing PD and the care team (shared decision-making) to establish care goals for dialysis delivery. The aims of these care goals are (1) to allow the person doing PD to achieve his/her own life goals and (2) to promote the provision of high-quality dialysis care by the dialysis team.

Journal Article Type Article
Acceptance Date Jan 21, 2020
Online Publication Date Jan 21, 2020
Publication Date 2020-05
Publicly Available Date May 26, 2023
Journal Peritoneal Dialysis International
Print ISSN 0896-8608
Publisher SAGE Publications
Volume 40
Issue 3
Pages 244- 253
DOI https://doi.org/10.1177/0896860819895364
Keywords Guideline, peritoneal dialysis prescribing, quality of life, small solute removal
Publisher URL https://doi.org/10.1177%2F0896860819895364

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