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Determines the exercise tolerance of continuous ambulatory peritoneal dialysis (CAPD) of patients with end-stage renal disease in Great Britain. Determination of peak oxygen uptake and ventilatory threshold; Comparison between CAPD and hemodialysis (HD); Prevention of cardiovascular instability by HD.

Chronic kidney disease (CKD) is a common, harmful, but treatable long term condition. An overview of CKD is provided in this article. Kidney Research UK, www.kidneyresearchuk.org a national charity dedicated to research, has developed the A Better Life through Education and empowerment (ABLE) programme which seeks to research and raise awareness of the issues among 'at risk' groups as well as among relevant health professionals. Part Two of the renal NSF suggests many actions that can be taken in primary care to prevent CKD. In the event of Established Renal Failure (ERF), there are a number of treatment options available including continuous ambulatory peritoneal dialysis (CAPD), described here. Kidney Research UK's Patient DVD module two (complimentary copy attached to this issue) provides more detail using case studies. The DVD offers practical help, support and guidance on how to overcome some of the challenges. [ABSTRACT FROM AUTHOR]

Background/Aim: We have previously reported a study on the adequacy of management of hypertension in patients developing end-stage renal failure (ESRF) over a period of 3 years from a single health district in the UK (n = 107). There were significant shortcomings in all aspects of management of hypertension including blood pressure (BP) control. Methods: In this report, we have compared BP control in the same cohort of patients before and after starting renal replacement therapy (RRT). Results: BP control improved significantly after the patients were established on dialysis (mean 158/ 87 mm Hg pre-RRT vs. 152/82 mm Hg post-RRT; p < 0.0001), and fewer antihypertensive agents were prescribed to control BP (mean 2.45 vs. 1.74) in this period (p < 0.0001). Moreover, patients on continuous ambulatory peritoneal dialysis (n = 50) had a better systolic BP control compared with the haemodialysis patients (n = 57; p = 0.03). Conclusions: This study shows significant improvement in BP control in a cohort of patients with ESRF following the start of dialysis. Copyright © 2005 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Investigates the effects of continuous ambulatory peritoneal dialysis (CAPD) on a renal unit in Great Britain. Percentage of actuarial survival of patients transferring to hemodialysis; Suitability of hospital hemodialysis for patients; Importance in the selection of patients to reduce mortality.

Focuses on the efficacy of continuous ambulatory peritoneal dialysis for patients with renal failure in Great Britain. Decline of hospital admission; Lack of facilities for expensive maintenance; Specifications of care standards and staffing requirements.

Examines the Richter's hernia in chronic ambulatory peritoneal dialysis in Great Britain. Prevalence of the disease; Dominance of abdominal pain; Complications of catheter insertion.