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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
  1. PD peritoneal dialysis, HD hemodialysis, BMI body mass index, SGA subjective global assessment, ESA erythropoiesis-stimulating agent