Is APD Or CAPD Better?

by | Last updated on January 24, 2024

, , , ,


APD has not been shown to have significant advantages over CAPD

in terms of important clinical outcomes. APD may however be considered advantageous in select group of patients such as in the younger PD population and those in employment or education due to its psychosocial advantages.

Which is better CAPD or hemodialysis?

Peritoneal dialysis is

done more continuously than hemodialysis

, resulting in less accumulation of potassium, sodium and fluid. This allows you to have a more flexible diet than you could have on hemodialysis. Longer lasting residual kidney function.

What is the difference between the two types of peritoneal dialysis?

There are two kinds of dialysis. In hemodialysis, blood is pumped out of your body to an artificial kidney machine, and returned to your body by tubes that connect you to the machine. In peritoneal dialysis,

the inside lining of your own belly acts as a natural filter

.

What is the difference between CAPD and CCPD?

Continuous ambulatory peritoneal dialysis (CAPD):

Does not require a machine

. Exchanges, often referred to as “passes,” can be done three to five times a day, during waking hours. Continuous cyclic peritoneal dialysis (CCPD): Requires the use of a special dialysis machine that can be used in the home.

What are the two types of PD?

The 2 most common types of PD are

continuous cycler-assisted peritoneal dialysis (CCPD) and continuous ambulatory peritoneal dialysis (CAPD)

.

Do you pee on peritoneal dialysis?

As a result many dialysis patients produce very small amounts of urine. However,

dialysis does not prevent someone from urinating normally

; it only reduces the total urine output, so that he or she may only need to urinate once a day, which is not dangerous.

How long can you survive on peritoneal dialysis?

Mortality rates have fallen over the past several years, but long-term survival remains poor, with only 11% of peritoneal dialysis patients

surviving past 10 years

. Cardiovascular disease accounts for most deaths, and dialysis patients have many traditional and nontraditional cardiovascular risk factors.

What does peritoneal dialysis feel like?

Several things can occur to your body when you start PD. Initially, you may experience

bloating and abdominal discomfort

as you carry fluid in your abdomen throughout the day. These symptoms typically resolve once your body adjusts to carrying this fluid. If you feel uncomfortable, speak with your doctor.

What is auditory processing difficulties?

Auditory processing disorder (APD) is

a hearing problem that affects about 3%–5% of school-aged children

. Kids with this condition, also known as central auditory processing disorder (CAPD), can’t understand what they hear in the same way other kids do. This is because their ears and brain don’t fully coordinate.

How is APD done?

Automated peritoneal dialysis (APD) is similar to CAPD, except a machine is used to

control the exchange of fluid while you sleep

. You attach a bag filled with dialysate fluid to the APD machine before you go to bed. As you sleep, the machine automatically performs a number of fluid exchanges.

What is a common problem with peritoneal dialysis?


An infection of the abdominal lining (peritonitis)

is a common complication of peritoneal dialysis. An infection can also develop at the site where the catheter is inserted to carry the cleansing fluid (dialysate) into and out of your abdomen.

What are the pros and cons of peritoneal dialysis?

  • Fewer negative side effects (such as nausea, vomiting, cramping, and weight gain) than with hemodialysis.
  • Provides continuous therapy, which acts more like natural kidneys.
  • Can allow for fewer dietary restrictions.
  • Needle-free treatments.

Who is a candidate for peritoneal dialysis?

These include patient age, cause of end-stage renal disease (diabetes, polycystic kidney disease, scleroderma), co-morbid conditions (previous cardiovascular disease), surgical history (previous abdominal surgery, aortic prosthetic grafts in patients with abdominal aortic aneurysm), body habitus, presence or absence of …

Can you skip a day of peritoneal dialysis?

One of the big problems with PD is that patients sometimes do not perform all of the exchanges recommended by their medical team. They either

skip exchanges

or sometimes skip entire treatment days when using CCPD. Skipping PD treatments has been shown to increase the risk of hospitalization and death.

Do dialysis patients still poop?

Almost all patients on dialysis take

laxatives and stool softeners

to promote regularity and prevent constipation.

What are the disadvantages of peritoneal dialysis?

One of the main disadvantages of peritoneal dialysis is

that it needs to be carried out every day

, which you may find disruptive. You may also find it upsetting to have a thin tube (catheter) left permanently in your abdomen (tummy), although it can often be concealed under clothing.

James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.