Continuous ambulatory peritoneal dialysis in children. Comparison with hemodialysis

M. Baum, D. Powell, S. Calvin, T. McDaid, K. McHenry, H. Mar, D. Potter

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

The clinical and biochemical effects of continuous ambulatory peritoneal dialysis in 20 children and of hemodialysis in 16 children were compared over a 2 1/2 -year period. Statistically significant differences between the treatment groups included higher hematocrit, higher serum carbon dioxide and cholesterol levels, larger intake of calories and protein, and lower systolic blood pressure and rates of transfusion in the patients receiving continuous ambulatory peritoneal dialysis. These patients had more complications than the patients receiving hemodialysis, but hospitalization rates in the two groups were similar. The cost of continuous ambulatory peritoneal dialysis was $19,600 per patient-year; the cost of hemodialysis was $54,300 per patient-year. There were four treatment failures with continuous ambulatory peritoneal dialysis and one with hemodialysis. Patients treated with both forms of dialysis preferred continuous ambulatory peritoneal dialysis. We conclude that continuous ambulatory peritoneal dialysis is an important alternative to hemodialysis in children.

Original languageEnglish (US)
Pages (from-to)1537-1542
Number of pages6
JournalNew England Journal of Medicine
Volume307
Issue number25
StatePublished - 1982

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Continuous Ambulatory Peritoneal Dialysis
Renal Dialysis
Blood Pressure
Costs and Cost Analysis
Treatment Failure
Hematocrit
Carbon Dioxide
Dialysis
Hospitalization
Cholesterol
Serum
Proteins

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Baum, M., Powell, D., Calvin, S., McDaid, T., McHenry, K., Mar, H., & Potter, D. (1982). Continuous ambulatory peritoneal dialysis in children. Comparison with hemodialysis. New England Journal of Medicine, 307(25), 1537-1542.

Continuous ambulatory peritoneal dialysis in children. Comparison with hemodialysis. / Baum, M.; Powell, D.; Calvin, S.; McDaid, T.; McHenry, K.; Mar, H.; Potter, D.

In: New England Journal of Medicine, Vol. 307, No. 25, 1982, p. 1537-1542.

Research output: Contribution to journalArticle

Baum, M, Powell, D, Calvin, S, McDaid, T, McHenry, K, Mar, H & Potter, D 1982, 'Continuous ambulatory peritoneal dialysis in children. Comparison with hemodialysis', New England Journal of Medicine, vol. 307, no. 25, pp. 1537-1542.
Baum M, Powell D, Calvin S, McDaid T, McHenry K, Mar H et al. Continuous ambulatory peritoneal dialysis in children. Comparison with hemodialysis. New England Journal of Medicine. 1982;307(25):1537-1542.
Baum, M. ; Powell, D. ; Calvin, S. ; McDaid, T. ; McHenry, K. ; Mar, H. ; Potter, D. / Continuous ambulatory peritoneal dialysis in children. Comparison with hemodialysis. In: New England Journal of Medicine. 1982 ; Vol. 307, No. 25. pp. 1537-1542.
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