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Review
. 2021 Jun;53(6):1149-1160.
doi: 10.1007/s11255-020-02678-6. Epub 2020 Oct 13.

APD or CAPD: one glove does not fit all

Athanasios Roumeliotis  1 , Stefanos Roumeliotis  1 , Konstantinos Leivaditis  1 , Marios Salmas  2 , Theodoros Eleftheriadis  3 , Vassilios Liakopoulos  4
Affiliations
Review

APD or CAPD: one glove does not fit all

Athanasios Roumeliotis et al. Int Urol Nephrol. 2021 Jun.

Abstract

The use of Automated Peritoneal Dialysis (APD) in its various forms has increased over the past few years mainly in developed countries. This could be attributed to improved cycler design, apparent lifestyle benefits and the ability to achieve adequacy and ultrafiltration targets. However, the dilemma of choosing the superior modality between APD and Continuous Ambulatory Peritoneal Dialysis (CAPD) has not yet been resolved. When it comes to fast transporters and assisted PD, APD is certainly considered the most suitable Peritoneal Dialysis (PD) modality. Improved patients' compliance, lower intraperitoneal pressure and possibly lower incidence of peritonitis have been also associated with APD. However, concerns regarding increased cost, a more rapid decline in residual renal function, inadequate sodium removal and disturbed sleep are APD's setbacks. Besides APD superiority over CAPD in fast transporters, the other medical advantages of APD still remain controversial. In any case, APD should be readily available for all patients starting PD and the most important indication for its implementation remains patient's choice.

Keywords: Automated peritoneal dialysis (APD); Continuous ambulatory peritoneal dialysis (CAPD); Fast transporters; Patient selection.

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