Modalities Differences

 

The main differences between the existing modalities :

Modality

Automated Peritoneal Dialysis

(APD)

Continuous Ambulatory Peritoneal Dialysis

(CAPD)

Hemodialysis

(HD)

Equipment

Cycler (machine) which is used to pump and drain the solution from the peritoneum.

Tubes and clamps.

Dialysis machine and dialyzer (filter).

Frequency

Once a DAY (usually at night)

Daily, 4 to 5 times a DAY

3 to 4 times a WEEK

Duration

8 to 12 hours during sleep (depending on prescription)

45 minutes during exchange

3 to 5 hours (excluding travelling time to and fro the HD center)

Location

At home

At home

At the HD center

Personnel

Self / Caregiver

Self / Caregiver

Professionally-trained nurses

Risk

Peritonitis / Exit site infection

Peritonitis/ Exit site infection

Arrhythmia, cardiac arrest, catheter-related bloodstream infection (CRBSI), various infectious outbreaks from HD center.

 

17 things to know about various dialysis modalities:

No

Key Features & Benefits

Lucenxia INTELLIS

Existing CCPD

CAPD

HD

1

Freedom: Daytime freedom for work/other activities

 

2

Accessibility: Multi-language/Dialect user interface

 

 

 

3

Accessibility: Audio support to aid visually impaired patients

 

 

 

4

Accessibility: Video support to aid patients who are forgetful

 

 

 

5

Immediacy: Daily reporting of patient treatment and monitoring of patient wellbeing

 

 

 

6

Compliance: Built in QR coded tags and regimented procedures to prevent confusion

 

 

 

7

Safety: Built in override system to safeguard patient safety

 

8

User Friendly: Remote prescription by doctor, machine is programmed automatically.

 

 

 

9

Freedom: Minimal caregiver assistance

 

10

Lifestyle: More flexible diet and fluid intake

 

11

Lifestyle: Allows regular contact with other dialysis patients

 

 

 

12

Lifestyle: Able to maintain normal lifestyle during the day

 

 

13

Lifestyle: Allows dialysis in the privacy of own home.

 

14

Outcome: Patient’s kidney function is better preserved

 

15

Outcome: Less fatigue with fewer extreme energy peaks and valleys.

 

16

Compliance: Instant traceability of individual PD solution bags

 

 

 

17

Compliance: Patients are professionally trained to administer self-treatment.

 

 

The benefits of APD over Hemodialysis (HD) are:

  • Treatment can be done at home
  • Treatment can be carried out during your sleep, day or night
  • More day time freedom for the patient and caregivers
  • No needles involved
  • Kidney function can be better retained.  In HD, kidney function will deteriorate rapidly
  • Lesser strain to the heart, minimal risk of cardiac arrest during treatment
  • Higher early survival rate
  • Greater dietary freedom
  • Better overall Quality of Life


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