Preserve RKF
Starting with PD preserves your patients’ Residual Kidney Function, and is associated with better patient survival1,2
The majority of patients starting dialysis have residual kidney function (RKF)
Prospective randomized trials of dialysis adequacy and observational studies have confirmed an association between the presence of RKF and potential reduction of mortality in patients on PD therapy.1
PD allows a better preservation of RKF than HD, for patients starting dialysis and this is associated with better patient survival1,2
Each 250 mL increase in daily urine volume was associated with a 36% lower relative risk of death1
Each 5L/week/1.73 m2 increment in GFR gave a 12% reduction in relative risk of death1
Prioritize PD to preserve your patients’ Residual Kidney Function
Patients treated with PD compared with those treated with HD have:
- A slower rate of decline of residual glomerular filtration rate (rGFR) and creatinine clearance2
- A longer time to loss of RKF1,2
Adapted from Jansen M et al. The study analyzed the decline rates of residual GFR (rGFR) prospectively in 522 incident HD and PD patients who had scheduled follow-up assessments. GFR was measured as the mean urea and creatinine clearance, calculated from urine collections. The initial value was obtained between 0 to 4 weeks before the start of dialysis. The measurements were repeated 3, 6, and 12 months after the start of dialysis treatment.
