Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 May 15:18:2707-2719.
doi: 10.2147/JMDH.S516563. eCollection 2025.

Evidence Summary of Personalized Management of Peritoneal Dialysis Volume in Adults

Cuiying Yu  1 , Pengjie Sha  1 , Zhixia Jiang  1 , Yanli Wei  2 , Bin Gong  2 , Sha Jiang #  2 , Rongrong Wang #  2   3
Affiliations
Review

Evidence Summary of Personalized Management of Peritoneal Dialysis Volume in Adults

Cuiying Yu et al. J Multidiscip Healthc. .

Abstract

Purpose: The overload capacity poses great challenges to the management and prognosis of peritoneal dialysis patients. There have been many studies, but they are relatively fragmented and inconsistent. It is urgent to summarize high-quality evidence. The objective of this study is to thoroughly investigate, extract, assess, and synthesize the most relevant evidence about the individualized management of peritoneal volume in patients undergoing peritoneal dialysis. It can be utilized in clinical practice to improve patient outcomes.

Methods: The study used the "6S" pyramid model to identify all available evidence related to the personalized management of peritoneal volume among patients receiving peritoneal dialysis. This comprehensive search encompassed various types of evidence, including guidelines, recommended practices, systematic reviews, evidence summaries, expert consensus documents, and original research studies. These were sourced from both domestic and international guideline websites, professional association platforms, as well as relevant databases. The time limit was set from the date of database creation until April 2024, with the search commencing in December 2023.

Results: The systematic search yielded 17 pieces of literature that were ultimately included in the analysis. This collection comprised seven guidelines, four best practices, two documents reflecting expert consensus, two systematic reviews, and two randomized controlled trials. The overall quality of the literature analyzed was found to be high. Through this thorough review, a total of 37 pieces of the best evidence were identified and categorized into three critical aspects: risk factors, comprehensive assessment methodologies, and various intervention strategies.

Conclusion: This study serves as a consolidation of the available evidence regarding the personalized management of peritoneal volume for patients undergoing peritoneal dialysis. It underscores the importance of clinical staff's ability to implement tailored volume management programs that address the unique circumstances of each patient.

Keywords: evidence summary; evidence-based nursing; individualized management; peritoneal volume.

PubMed Disclaimer

Conflict of interest statement

The authors declare no potential conflicts of interest concerning this article’s research, authorship, or publication.

Figures

Figure 1
Figure 1
PubMed search strategy.
Figure 2
Figure 2
Literature screening flow chart.
See this image and copyright information in PMC

References

    1. Pippias M, Alfano G, Kelly DM, et al. Capacity for the management of kidney failure in the International Society of Nephrology Western Europe region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA). Kidney Int Suppl. 2024;13(1):136–151. doi:10.1016/j.kisu.2024.01.008 - DOI - PMC - PubMed
    1. Bello AK, Okpechi IG, Levin A, et al. An update on the global disparities in kidney disease burden and care across world countries and regions. Lancet Glob Health. 2024;12(3):e382–e395. doi:10.1016/S2214-109X(23)00570-3 - DOI - PubMed
    1. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int. 2024;105(4S):S117–S314. doi:10.1016/j.kint.2023.10.018 - DOI - PubMed
    1. Kang SH, Do JY. Effects of volume status on body composition in incident peritoneal dialysis patients. Eur J Clin Nutr. 2020;74(4):633–641. doi:10.1038/s41430-020-0574-y - DOI - PubMed
    1. Li J, Huang N, Zhong Z, et al. Risk factors and outcomes of cardiovascular disease readmission within the first year after dialysis in peritoneal dialysis patients. Ren Fail. 2021;43(1):381. doi:10.1080/0886022X.2020.1866009 - DOI - PMC - PubMed

LinkOut - more resources