Prognostički učinak doze dijalize na ishode u bolesnika liječenih peritonejskom dijalizom uglavnom je promatran iz retrospektivnih podataka. Kako kontrolirati učinkovitost dijalize i kakav je njen utjecaj na preživljavanje bolesnika i metode pokušali smo istražiti u našem desetogodišnjem retrospektivnom radu. Komparirali smo kliničko stanje pacijenta, laboratorijske pokazatelje doze dijalize (Kt/V) i transportne funkcije peritonejske membrane (PET). Pacijenti su podijeljeni prema vrijednostima Kt/V manje od 1,7 te od 1,7-2,2 i više. Prema nalazima PET-a podijeljeni su u četiri standardne skupine. Kt/V i PET su nezaobilazni čimbenici evaluacije peritonealne membrane i preskripcije otopina za dijalizu. Vremenom i upalnim procesima mijenjaju se transportne, ultrailtracijske i druge karakteristike membrane. U bilo kojem izračunu adekvatnosti bitno je razlučiti bolesnike koji mokre i anurične bolesnikePeritoneal dialysis is an equally valuable method for some patients. It is a method with some advantages and thus should be considered the method of choice. Are the trends of treatment with this method instead of terminal kidney disease replacement stagnating? In our ten-year retrospective study, we tried to do assess how to control the eficiency of dialysis and what was its inluence on patient survival. We compared clinical state of patients, laboratory indicators of dialysis dosage (Kt/v) and peritoneal membrane transport function (PET). Patients were divided according to Kt/v values 2.2. According to PET indings, they were divided into four standard groups. Kt/v and PET are unavoidable evaluation factors of peritoneal membrane and for prescribing dialysis. The transport, ultrailtration and other membrane characteristics change with time and with inlammatory processes. On any calculation of adequacy, it is essential to distinguish diuretic and anuric patients. The adequacy of peritoneal dialysis should be incorporated in the conclusion on prescriptions and quality treatment of each individual patient
