Peritoneal Dialysis Guidelines 2019 Part 2: Main Text (Position paper of the Japanese Society for Dialysis Therapy)

Autor: Hidemichi Yuasa, Atsushi Ueda, Ito Minoru, Hitoshi Sugiyama, Tadashi Tomo, Yasuhiko Ito, Hidetomo Nakamoto, Daisuke Komukai, Kimio Watanabe, Masayo Nogami, Yosuke Saka, Hiroya Masaki, Yasushi Tsujimoto, Atsuhiro Kanno, Masaaki Nakayama, Minoru Ito, Yoshihiro Tsujimoto, Noritomo Itami, Kiyotaka Uchiyama, Mamiko Matsumura, Takayuki Fujii, Keika Hoshi, Shinobu Tokumoto, Yoshihiro Toyoshima, Shuto Yamamoto, Eishyu Nangou, Yuichi Ishikawa, Hideki Yokoi, Hiroyuki Terawaki, Munekazu Ryuzaki, Kazuhiko Tsuruya, Yoko Obata, Shinichi Abe, Naoki Washida, Emi Fujikura, Takahiro Kasai, Mizuya Fukasawa, Yoshie Kanazawa, Mieko Mitani, Yoshihiko Kanno, Yukio Maruyama, Masahito Tamura, Yuko Mikami, Yusuke Kuroki, Akihiro C. Yamashita, Miho Murashima, Kaoru Yasuda, Hideki Kawanishi, Tsutomu Sakurada, Naohiro Toda, Ikuto Masakane, Hiraku Tsujimoto, Hiroaki Io, Chihiro Ishihara, Masanobu Miyazaki, Chieko Higuchi, Keiichi Wakabayashi, Tsutomu Furuzono, Kohkichi Morimoto
Rok vydání: 2021
Předmět:
Zdroj: Renal Replacement Therapy, Vol 7, Iss 1, Pp 1-20 (2021)
ISSN: 2059-1381
Popis: Background This article is a duplicated publication from the Japanese version of “2019 JSDT Guidelines for Peritoneal Dialysis” with permission from the Japanese Society for Dialysis Therapy (JSDT). This clinical practice guideline (CPG) was developed primarily by the Working Group on Revision of Peritoneal Dialysis (PD) Guidelines of the Japanese Society for Dialysis Therapy. Recently, the definition and creation process for CPGs have become far more rigorous; traditional methods and formats no longer adhere to current standards. To improve the reliability of international transmission of our findings, CPGs are created in compliance with the methodologies developed by the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) working group. Part 2 of this PD guideline is the first CPG developed by our society that conforms to the GRADE approach. Methods Detailed processes were created in accordance with the Cochrane handbook and the GRADE approach developed by the GRADE working group. Results Clinical question (CQ)1: Is the use of renin-angiotensin system inhibitors (RAS inhibitors), such as angiotensin-converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB), effective in PD patients? Recommendation: We suggest the usage of RAS inhibitors (ACEI and ARB) in PD patients (GRADE 2C). CQ2: Icodextrin or glucose solution: which is more useful as a dialysate among patients with PD? Recommendation: We suggest using icodextrin when managing body fluids in PD patients (GRADE 2C). CQ3: Is it better to apply or not apply mupirocin/gentamicin ointment to the exit site? Recommendation: We suggest not applying mupirocin/gentamicin ointment to the exit sites of PD patients (GRADE 2C). CQ4: Which surgical approach is more desirable when a PD catheter is placed, open surgery or laparoscopic surgery? No recommendation. CQ5: Which administration route of antibiotics is better in PD patients with peritonitis, intravenous or intraperitoneal? Recommendation: We suggest intraperitoneal administration of antibiotics in PD patients with peritonitis (GRADE 2C). Note: The National Insurance does not currently cover intraperitoneal administration. CQ6: Is peritoneal dialysis or hemodialysis better as the first renal replacement therapy in diabetic patients? No recommendation. Conclusions In the future, we suggest that society members construct their own evidence to answer CQs not brought up in this guideline, and thereby show the achievements of Japan worldwide.
Databáze: OpenAIRE
Externí odkaz: