Prioritize PD to extend residual kidney function

RKF is associated with better patient survival

Prospective randomized trials of dialysis adequacy and observational studies have confirmed an association between the presence of RKF and improved patient survival during chronic PD therapy

• Each 250 mL increase in daily urine volume is associated with a 36% lower relative risk of death¹
• A residual GFR increase of 1 mL/min/1.73 m2 has been shown to give a 12% reduction in relative risk of death²

PD allows a better preservation of RKF than Hemodialysis (HD), favoring starting on PD first

Evidence shows that patients treated with PD compared with those treated with HD have:

• A slower rate of decline of residual glomerular filtration rate (rGFR) and creatinine clearance³
• A longer time to loss of RKF^1-3