Do you initiate peritoneal dialysis with an incremental strategy to ease patients into their treatment, even though it might lead to frequent lab monitoring and the risk of underdialysis?  

The benefits of incremental peritoneal dialysis, in patients who have residual kidney function, cannot be overstated. In addition to "easing into treatment" as suggested in this question, other benefits include: reduced exposure to dialysate and glucose in dialysate, potentially preserving the peri...

There are excellent responses already to this question. I agree with them both. Our group's practice is also to start every patient on incremental PD as residual kidney function allows. I prepared an answer to this question before realizing other faculty responses were provided. While my respon...

I pretty much start everyone on incremental PD. They’re going from a lot less clearance to additive clearance so they’re only better off than they were before it. They typically have a fair amount of residual renal function, so I’m hardly concerned about under-dialysis. It makes se...