Nefrología

ISSN: 0211-6995
e-ISSN: 1989-2284

Nefrología es la publicación oficial de la Sociedad Española de Nefrología. La revista publica artículos sobre investigación básica o clínica relacionada con la nefrología, la hipertensión arterial, la diálisis y el trasplante de riñón. La revista sigue la normativa del sistema de revisión por pares, de modo que todos los artículos originales son evaluados tanto por el comité como por revisores externos. La revista acepta artículos escritos en español o en inglés. Nefrología sigue las normas de publicación del Comité Internacional de Editores de Revistas Médicas (ICMJE) y del Comité sobre Publicación Ética (COPE).

54 Congreso Nacional de la Sociedad Española de Nefrología y XI Congreso Iberoamericano de Nefrología e Hipertensión 2024

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Abstract
Keywords
Abbreviations
Resumen
Palabras clave
Purpose and scope of the guideline
Rationale
Objective
Target population
Basic methodology of the guideline
Composition of the developing group
Applied methodology
Structured clinical questions
Adequacy
Residual kidney function
Prescription of capd and apd
Development of guideline
Adequacy
Structured question q1. what is the relationship between adequacy parameters in capd and apd and clinical outcomes?
Evidence synthesis
From evidence to recommendation
Recommendations
Solute clearance targets
Structured question q2. what is the minimum total kt/v urea target for pd patients?
Evidence synthesis
From evidence to recommendation
Recommendations
Structured question q3. what is the minimum weekly total creatinine clearance target for pd patients?
Evidence synthesis
From evidence to recommendation
Recommendations
Ultrafiltration and hydration status
Ultrafiltration
Structured question q4. what is the minimum daily total fluid removal target for patients on pd?
Evidence synthesis
From evidence to recommendation
Recommendations
Hydrationstatus
Structured question q5. what is the best method to assess hydration status in pd?
Evidence synthesis
From evidence to recommendation
Recommendations
Structured question q6. what is the maximum acceptable-tolerable level of overhydration in pd patients?
Is it the same for patients on capd and apd?
Evidence synthesis
From evidence to recommendation
Recommendations
Preservation of residual kidney function
Structured question q7. are there any differences in mortality, technique survival, or morbidity between patients who maintain rkf and those who do not?
Evidence synthesis
Frome evidence to recommendation
Recommendations
Structured question q8. does the use of biocompatible solutions affect rkf?
Evidence synthesis
From evidence to recommendation
Recommendations
Structured question q9. does the use of icodextrin solutions affect rkf?
Evidence synthesis
From evidence to recommendation
Recommendations
Structured question q10. are there differences between capd and apd in maintaining rkf?
Evidence synthesis
From evidence to recommendation
Recommendations
Structured question q11. are there effective pharmacological measures to preserve rkf?
Evidence synthesis
From evidence to recommendation
Recommendations
Prescription of peritoneal dialysis
Structured question q12. is icodextrin indicated from the onset of capd? does the use of icodextrin from the beginning of capd increase survival?
Evidence synthesis
From evidence to recommendation
Recommendations
Use of amino acid solutions
Structured question q13. is the use of amino acids indicated from capd initiation? does the use of amino acid-based solutions from the beginning of capd improve clinical outcomes?
Evidence synthesis
From evidence to recommendation
Recommendations
Use of bicarbonate or low-gdp solutions
Structured question q14. is the use of bicarbonate-buffered solutions or low gdp (biocompatible) solutions indicated from the start of capd? can it improve clinical outcomes?
Evidence synthesis
From evidence to recommendation
Recommendations
Incremental peritoneal dialysis
Adjusting capd prescription during follow up
Apd prescription
Nocturnal prescription
Structured question q15. what parameters influence the prescription of nighttime exchanges in apd?
Evidence synthesis
From evidence to recommendation
Recommendations
Structured question q16. what factors affect peritoneal permeability in apd?
Evidence synthesis
From evidence to recommendation
Recommendations
Nocturnal ultrafiltration
Structured question q17. what are the factors that affect ultrafiltration and sodium removal during the nighttime session in apd?
Evidence synthesis
From evidence to recommendation
Recommendations
Daytime prescription
Structured question q18. are there any daytime prescription regimens that optimise ultrafiltration and sodium removal in apd?
Evidence synthesis
From evidence to recommendation
Recommendations
Tidal apd
Structured question q19. is there any risk for the patient associated with the prescription of tidal pd? does it improve dialysis adequacy?
Evidence synthesis
From evidence to recommendation
Recommendations
Adapted apd
Structured question q20. does adapted apd improve adequacy, ultrafiltration, sodium removal, and bp control?
Evidence synthesis
From evidence to recommendation
Recommendations
Structured question q21. does apd affect survival in patients on pd?
Evidence synthesis
From evidence to recommendation
Recommendations
Advantages of apd
Apd from the beginning
Structured question q22. what are the advantages and disadvantages of initiating with apd rather than capd?
Evidence synthesis
From evidence to recommendation
Recommendations
Apd and capd in continuation therapy
Structured question q23. what are the advantages/disadvantages of apd over capd during treatment evolution?
Evidence synthesis
From evidence to recommendation
Recommendations
Summary of recommendations and suggestions of the guideline
Adequacy
Residual kidney function
Capd and apd prescription
Information regarding the supplement
Conflict of interests
Bibliografía

Consensus document

DOI: 10.1016/j.nefroe.2024.09.001

Acceso a texto completo

Clinical guideline on adequacy and prescription of peritoneal dialysis

Guía clínica de adecuación y prescripción de la diálisis peritoneal

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Mercè Borràs Sansa, Esther Ponz Clementeb, Ana Rodríguez Carmonac, Manel Vera Riverad, Miguel Pérez Fontánc,

Autor para correspondencia

miguel.perez.fontan@sergas.es

Corresponding author.

, Carlos Quereda Rodríguez-Navarroe, Mª Auxiliadora Bajo Rubiof, Verónica de la Espada Piñag, Mercedes Moreiras Plazah, Javier Pérez Contrerasi, Gloria del Peso Gilsanzj, Mario Prieto Velascok, Pedro Quirós Gangag, César Remón Rodríguezg, Emilio Sánchez Álvarezl, Nicanor Vega Rodríguezm, Nuria Aresté Fosalban, Yolanda Benitoo, Mª José Fernández Reyesp, Isabel García Martínezq..., José Ignacio Minguela Pesquerar, Maite Rivera Gorríns, Ana Usón NuñoaVer más

a Hospital Universitari Arnau de Vilanova, Lleida, Spain

b Corporació Sanitària Parc Taulí, Sabadell, Barcelona, Spain

c Hospital Universitario de A Coruña, A Coruña, Spain

d Hospital Clínic, Barcelona, Spain

e Sociedad Española de Nefrología, Madrid, Spain

f Hospital Universitario de la Princesa, Madrid, Spain

g Hospital Universitario Puerta del Mar, Cádiz, Spain

h Hospital Universitario, Vigo, Spain

i Hospital Universitario de Alicante, Alicante, Spain

j Hospital Universitario La Paz, Madrid, Spain

k Hospital Universitario, León, Spain

l Hospital Universitario de Cabueñes, Gijón, Asturias, Spain

m Hospital Universitario de las Palmas, Las Palmas de Gran Canaria, Spain

n Hospital Universitario Virgen del Rocío, Sevilla, Spain

o Hospital Universitari Joan XXIII, Tarragona, Spain

p Hospital Universitario, Segovia, Spain

q Hospital Universitari Son Espases, Palma de Mallorca, Spain

r Hospital Universitario OSI Bilbao-Basurto, Spain

s Hospital Universitario Ramón y Cajal, Madrid, Spain

Artículo

Este artículo está disponible en español

Guía clínica de adecuación y prescripción de la diálisis peritoneal

Mercè Borràs Sans, Esther Ponz Clemente, Ana Rodríguez Carmona, Manel Vera Rivera, Miguel Pérez Fontán, Carlos Quereda Rodríguez-Navarro, M. Auxiliadora Bajo Rubio, Verónica de la Espada Piña, Mercedes Moreiras Plaza, Javier Pérez Contreras, Gloria del Peso Gilsanz, Mario Prieto Velasco, Pedro Quirós Ganga, César Remón Rodríguez, Emilio Sánchez Álvarez, Nicanor Vega Rodríguez, Nuria Aresté Fosalba, Yolanda Benito, M. José Fernández Reyes, Isabel García Martínez, José Ignacio Minguela Pesquera, Maite Rivera Gorrín, Ana Usón Nuño

10.1016/j.nefro.2024.03.001

Nefrologia. 2024;44 Supl 1:1-29

This article is available in English

Clinical guideline on adequacy and prescription of peritoneal dialysis

Mercè Borràs Sans, Esther Ponz Clemente, Ana Rodríguez Carmona, Manel Vera Rivera, Miguel Pérez Fontán, Carlos Quereda Rodríguez-Navarro, Mª Auxiliadora Bajo Rubio, Verónica de la Espada Piña, Mercedes Moreiras Plaza, Javier Pérez Contreras, Gloria del Peso Gilsanz, Mario Prieto Velasco, Pedro Quirós Ganga, César Remón Rodríguez, Emilio Sánchez Álvarez, Nicanor Vega Rodríguez, Nuria Aresté Fosalba, Yolanda Benito, Mª José Fernández Reyes, Isabel García Martínez, José Ignacio Minguela Pesquera, Maite Rivera Gorrín, Ana Usón Nuño

10.1016/j.nefroe.2024.09.001

Nefrologia (English Version). 2024;44 Supl 1:1-27

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Artículo

Guía clínica de adecuación y prescripción de la diálisis peritoneal

Clinical guideline on adequacy and prescription of peritoneal dialysis

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