Adequacy in peritoneal dialysis: Is it essential to monitor

Peritoneal dialysis unlike hemodialysis has a number of factors which affect the dialysis delivery and hence influence the outcome. Assessment of adequacy of dialysis therefore has an important role in managing these patients and providing appropriate PD prescription. Like in hemodialysis patients majority of studies and guidelines recommend small-solute clearances as marker of PD adequacy. However, the outcome in these patients has not been consistently linked to small-solute clearance and therefore adequacy assessment should be performed in a holistic manner, with due importance given to clinical examination, quality of life assessment and biochemical parameters in addition to measurement of solute clearances.