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Adapted APD (aAPD)

Adapted APD visual

According to Fischbach et al, aAPD offers better results using the same time and resources1

  • aAPD is possible without extra fluids or a longer amount of time
  • Efficiently uses existing treatment resources: better ultrafiltration and clearance with same, low glucose concentration, fluid volume and treatment time compared to conventional APD (cAPD)

Figure 1: Modified graphic of an aAPD prescription following Fischbach M. et al., 2011, (page 3)1

Attaining adequacy targets

The challenges of PD — Reaching adequacy targets

Fischbach study supports the effectivity of aAPD1

Comparison after 45 days

Figure 4: figure created based on study data of Fischbach, M. et al., 2011 (page 7) comparing mean daily UF and sodium removal after 45 days, showing better UF (+100 ml/session) and sodium removal (+14 mmol/session) for aAPD1

Higher clearance with aAPD over glucose absorbed1

Figure 5: Modified graphic following Fischbach. et al., 2011 (page 6) indicating improved sodium removal and clearance for aAPD1

Related content

1 Fischbach M, Issad B, Dubois V, Taamma R. The beneficial influence on the effectiveness of automated peritoneal dialysis of varying the dwell time (short/long) and fill volume (small/large): randomized controlled trial. Peritoneal Dialysis International 2011; 31(4):450-8