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Controversies and Future Trends in Peritoneal Dialysis (pp. 163-194) $100.00
Authors:  (Vanessa Burgugi Banin, Dayana Bitencourt Dias, Jacqueline Teixeira Caramori, Pasqual Barretti and Daniela Ponce)
The use of peritoneal dialysis (PD) differs dramatically between different regions and
countries. The analysis of the distribution of the PD population worldwide shows that 65%
of patients who receive PD live in developing countries. This proportion varies across
countries from less than 0.1% in Egypt, 10% in the USA, 25% in Latin America, to 76%
in Hong Kong. Recently, urgent-start PD has been described as a reasonable solu¨tion to
the problem of unplanned renal replacement therapy initiation. Early experiences in the
USA, Canada and Brazil have demonstrated favorable technique and patient survival with
this modality.The variable trends in PD use reflect the multiple challenges in prescribing
this therapy to patients, in treating infectious complications related to PD and in preserving
the peritoneal membrane. In this review, we present several key opportunities and
strategies for revitalization of PD programs, with a special emphasis on urgent start PD
use, peritonitis treatment and use of new solutions. 

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Controversies and Future Trends in Peritoneal Dialysis (pp. 163-194)