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Christine Lacke, PA-C; Harry O. Senekjian, MD; Thomas F. Knight, MD; Mark Frazier, MD; Robert Hatlelid, MD; Marie Kozak, RN; Phillip Baker, PA-C; Edward J. Weinman, MD

Arch Intern Med. 1981;141(2):187-190.

Abstract
• After a one-year experience with a continuous ambulatory and long-term intermittent peritoneal dialysis (CAPD and IPD, respectively) program in a Veterans Administration hospital, both forms of dialysis provided excellent biochemical control of the patients' conditions. The major drawback to peritoneal dialysis as opposed to hemodialysis is the high rate of rehospitalization resulting from peritonitis or problems related to the peritoneal catheter. The incidence of peritonitis was one episode per 4.1 patient months in CAPD and one episode per 7.3 patient months in IPD. Recurrent episodes of peritonitis in a given patient were associated with a decrease in the serum albumin level. Blood values for BUN, creatinine, serum electrolytes, calcium, and phosphorus, however, were not altered. To date, CAPD appears to be an effective alternative form of dialytic therapy.

(Arch Intern Med 141:187-190, 1981)

Author Affiliations
From the Renal Section, Department of Internal Medicine, Veterans Administration Medical Center and Baylor College of Medicine (Ms Lacke, Drs Senekjian, Knight, Frazier, and Hatlelid, Mr Baker, and Dr Weinman), and Nursing Service, Veterans Administration Medical Center (Ms Kozak), Houston.

Footnotes
Accepted for publication April 29, 1980.

Reprint requests to Research Bldg 211, VA Medical Center, Houston, TX 77211 (Dr Weinman).

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