{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:40:29Z","timestamp":1789663229436,"version":"4.0.1"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T00:00:00Z","timestamp":1629504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012750","name":"Eastern Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012750","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Incremental peritoneal dialysis (PD) is recommended as a component of high\u2010quality care by the international society for PD; however, its feasibility and clinical outcomes have not been widely reported. The aim of this study is to describe our experience with incremental PD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective cohort study of incident PD patients at Eastern Health between 2015 and 2019. Patients who stopped PD within 30\u2009days were excluded. Incremental PD was defined in CAPD as using &lt;8\u00a0L\/day of exchange volume and in automated PD as dialysing without a last fill. Dialysis modality accorded with patient and physician preferences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 96 patients were included in this study; 54 with incremental PD. Compared to full\u2010dose PD, incremental PD patients were more likely to be female, had less comorbid diabetes (28% vs. 52%) and higher residual kidney function (RKF) (Kt\/V 2.0\u2009\u00b1\u20090.7 vs. 1.4\u2009\u00b1\u20090.7). Age, BMI and starting eGFR did not differ between groups. Incremental PD exposed patients to lower exchange volumes (4.4\u2009\u00b1\u20092.1 vs. 8.5\u2009\u00b1\u20091.1\u00a0L\/day), glucose load (46\u2009\u00b1\u200941\u2009g\/day vs. 119\u2009\u00b1\u200946) and was associated with a longer peritonitis\u2010free survival. PD technique survival, rates of peritonitis or hospitalization were comparable between groups. Predictors for longer incremental PD use included older age and higher starting eGFR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Incremental PD is a feasible, goal\u2010directed initial prescription in patients with RKF with comparable peritonitis rates and technique survival. Validation of this prescription in prospective studies is warranted.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nep.13962","type":"journal-article","created":{"date-parts":[[2021,8,15]],"date-time":"2021-08-15T04:31:00Z","timestamp":1629001860000},"page":"74-81","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Incremental peritoneal dialysis is a safe and feasible prescription in incident patients with preserved residual kidney function"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4883-420X","authenticated-orcid":false,"given":"Louis L.","family":"Huang","sequence":"first","affiliation":[{"name":"Eastern Health Integrated Renal Service Box Hill Hospital  Box Hill Victoria Australia"},{"name":"Eastern Health Clinical School Monash University  Box Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia Y.","family":"Mah","sequence":"additional","affiliation":[{"name":"Eastern Health Integrated Renal Service Box Hill Hospital  Box Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Howard","sequence":"additional","affiliation":[{"name":"Eastern Health Integrated Renal Service Box Hill Hospital  Box Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1665-3455","authenticated-orcid":false,"given":"Matthew A.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Eastern Health Integrated Renal Service Box Hill Hospital  Box Hill Victoria Australia"},{"name":"Eastern Health Clinical School Monash University  Box Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence P.","family":"McMahon","sequence":"additional","affiliation":[{"name":"Eastern Health Integrated Renal Service Box Hill Hospital  Box Hill Victoria Australia"},{"name":"Eastern Health Clinical School Monash University  Box Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfg147"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(03)00362-7"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2008.00277"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V12102158"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V1351307"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/2054358116679131"},{"issue":"3","key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"S67","DOI":"10.1016\/S0272-6386(97)70028-3","article-title":"NKF\u2010DOQI clinical practice guidelines for peritoneal dialysis adequacy. 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