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Continuous Ambulatory Peritoneal Dialysis in End-Stage Diabetic Nephropathy

  • Ramesh Khanna
  • Dimitrios G. Oreopoulos
Chapter
Part of the Developments in Nephrology book series (DINE, volume 9)

Abstract

Centers throughout North America are experiencing a remarkable rise in the proportion of newly diagnosed diabetic uremic patients requiring kidney replacement treatment [1–3]. Approximately 30% of all insulin-dependent (type I) diabetic patients die of renal failure. In the United States each year by conservative estimate, between 2,500 and 3,200 diabetics die of kidney disease [4]. Despite this large number, a decade ago diabetics with uremia comprised only 1–7% of all patients accepted for dialysis in Europe and the United States [5, 6]. These patients were excluded from dialysis for reasons that were multiple and complex, but the most important factors were the uniformly poor outcome of dialysis and transplantation [7–16], and the progressive deterioration of visual function. By 1978, however, due to technical advances in hemodialysis and better understanding of the factors contributing to the progression of diabetic complications, survival among chronically hemodialysed diabetics improved considerably [17–20].

Keywords

Peritoneal Dialysis Continuous Ambulatory Peritoneal Dialysis Chronic Peritoneal Dialysis Continuous Ambulatory Peritoneal Dialysis Patient Blood Sugar Control 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Martinus Nijhoff Publishing, Boston 1986

Authors and Affiliations

  • Ramesh Khanna
  • Dimitrios G. Oreopoulos

There are no affiliations available

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