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

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.

Citation

Brown, E. A., Blake, P. G., Boudville, N., Davies, S., de Arteaga, J., Dong, J., …Warady, B. (2020). International Society for Peritoneal Dialysis practice recommendations: Prescribing high-quality goal-directed peritoneal dialysis. Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis, 40(3), 244- 253. https://doi.org/10.1177/0896860819895364

• 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