Peritoneal dialysis costs

Timely referral of patients suffering from progressive CKD to the nephrologist has a positive influence on patients outcome in terms of mortality, morbidity, dialysis modality selection in favor of peritoneal dialysis, dialysis access outcome, dialysis technique failure, renal transplant eligibility, and total cost at initiation of dialysis [72],... 

Klinkmann and Vienken, 1995). In the United States, kidney transplantation follows hemodialysis in the number of patients treated, but a limited donor pool prevents dramatic expansion of this option. Peritoneal dialysis trails hemodialysis and transplantation with only 13.5 percent of U.S. ESRD patients supported (USRDS, 2000). The combined cost for ESRD is staggering, with approximately 11 billion expended in the Medicare ESRD program alone in 1998, most of which is applied to hemodialysis treatment (USRDS, 2(KX)). The present section focuses on the use of he-modialyzers as a cardiovascular device addressing kidney failure. 

Berger A. Edelsberg J, Inglese, et al Cost comparison of peritoneal dialysis versus hemodialysis in end-stage renal disease. Am J Manag Care 2009 15 509-518. 

Perfection of peritoneal double lumen catheters will pave the way for continuous flow peritoneal dialysis (CFPD), which is the logical extension of APD. CFPD, with external regeneration of peritoneal dialysate by external dialysis, addresses many of the limitations of CAPD and APD. Significantly, higher clearances, bicarbonate buffers, no GDPs, minimal protein losses, and low cost are some of the potential advantages (Cruz 2003, Ronco 2003). 

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