Table 3 Proposed indications for combined therapy with PD and HD
From: Clinical efficacy of combined therapy with peritoneal dialysis and hemodialysis
1. Insufficient solute removal (inadequate dialysis) |
Total Kt/V <1.7 |
β2 microglobulin >30 mg/L |
Other uremic symptoms |
Deterioration of nutritional status, decreased SGA, persistent anorexia |
ESA-hyporesponsive anemia |
Restless legs syndrome |
2. Insufficient fluid removal (fluid overload) |
Higher or drug-resistant blood pressure |
Heart enlargement or pleural effusion on chest X-rays |
Persistent peripheral edema, anasarca |
3. Other indications |
Limited peritoneal capacity |
Cardiovascular instability in HD |