Biocompatible peritoneal dialysis solutions: many questions but few answers

被引：14

作者：

Blake, Peter G. ^{[1
]}

Jain, Arsh K. ^{[1
]}

Yohanna, Sechelle ^{[1
]}

机构：

[1] Univ Western Ontario, Div Nephrol, Kidney Clin Res Unit, London, ON, Canada

来源：

KIDNEY INTERNATIONAL | 2013年 / 84卷 / 05期

关键词：

SYSTEMATIC REVIEWS; TRIALS;

D O I：

10.1038/ki.2013.303

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The clinical value of biocompatible peritoneal dialysis solutions is uncertain because of inconsistent findings in randomized controlled trials. A systematic review by Cho et al. examining 20 such trials suggests a beneficial effect on residual renal function. However, the finding is not robust and may relate to decreased ultrafiltration causing hypervolemia. Future prescribing of these biocompatible solutions will probably continue to be driven by opinion, marketing, and cost considerations rather than by evidence-based medicine.

引用

页码：864 / 866

页数：3

共 10 条

[1] Randomized controlled trials in PD [J].

Blake, Peter G. .

NEPHROLOGY DIALYSIS TRANSPLANTATION, 2007, 22 (10) :2746-2748

[2] BALANCE ABOUT BALANZ [J].

Blake, Peter G. .

PERITONEAL DIALYSIS INTERNATIONAL, 2012, 32 (05) :493-496

[3] The impact of neutral-pH peritoneal dialysates with reduced glucose degradation products on clinical outcomes in peritoneal dialysis patients [J].

Cho, Yeoungjee ;

Johnson, David W. ;

Badve, Sunil V. ;

Craig, Jonathan C. ;

Strippoli, Giovanni F. M. ;

Wiggins, Kathryn J. .

KIDNEY INTERNATIONAL, 2013, 84 (05) :969-979

[4] Preserving residual renal function in peritoneal dialysis: volume or biocompatibility? [J].

Davies, Simon J. .

NEPHROLOGY DIALYSIS TRANSPLANTATION, 2009, 24 (09) :2620-2622

[5] Can we rely on the best trial? A comparison of individual trials and systematic reviews [J].

Glasziou, Paul P. ;

Shepperd, Sasha ;

Brassey, Jon .

BMC MEDICAL RESEARCH METHODOLOGY, 2010, 10

[6] Effects of Biocompatible versus Standard Fluid on Peritoneal Dialysis Outcomes [J].

Johnson, David W. ;

Brown, Fiona G. ;

Clarke, Margaret ;

Boudville, Neil ;

Elias, Tony J. ;

Foo, Marjorie W. Y. ;

Jones, Bernard ;

Kulkarni, Hemant ;

Langham, Robyn ;

Ranganathan, Dwarakanathan ;

Schollum, John ;

Suranyi, Michael ;

Tan, Seng H. ;

Voss, David .

JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2012, 23 (06) :1097-1107

[7]

JORRES A, 1992, INT J ARTIF ORGANS, V15, P79

[8] Need for quality improvement in renal systematic reviews [J].

Mrkobrada, Marko ;

Thiessen-Philbrook, Heather ;

Haynes, R. Brian ;

Iansavichus, Arthur V. ;

Rehman, Faisal ;

Garg, Amit X. .

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2008, 3 (04) :1102-1114

[9] The Importance of Residual Kidney Function for Patients on Dialysis: A Critical Review [J].

Perl, Jeffrey ;

Bargman, Joanne M. .

AMERICAN JOURNAL OF KIDNEY DISEASES, 2009, 53 (06) :1068-1081

[10] Long-term follow-up of patients randomized to biocompatible or conventional peritoneal dialysis solutions show no difference in peritonitis or technique survival [J].

Srivastava, Shalabh ;

Hildebrand, Sarah ;

Fan, Stanley L-S. .

KIDNEY INTERNATIONAL, 2011, 80 (09) :986-991

← 1 →