Adapted APD (aAPD)

Adapted APD visual

According to Fischbach et al, aAPD offers better results using the same time and resources1

  • aAPD is possible without extra fluids or a longer amount of time
  • Efficiently uses existing treatment resources: better ultrafiltration and clearance with same, low glucose concentration, fluid volume and treatment time compared to conventional APD (cAPD) 

Figure 1: Modified graphic of an aAPD prescription following Fischbach M. et al., 2011, (page 3)1


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Attaining adequacy targets

The challenges of PD – Reaching adequacy targets

Fischbach study supports the effectivity of aAPD1

aAPD is possible without extra fluids or a longer amount of time, with the same glucose concentration

Comparison after 45 days

mean UF and sodium removal
Figure 4: figure created based on study data of Fischbach, M. et al., 2011 (page 7) comparing mean daily UF and sodium removal after 45 days, showing better UF (+100 ml/session) and sodium removal (+14 mmol/session) for aAPD1

Higher clearance with aAPD over glucose absorbed1

APD clearance Chart
Figure 5: Modified graphic following Fischbach. et al., 2011 (page 6) indicating improved sodium removal and clearance for aAPD1

Summary of the results of the study by Fischbach et al.1

Patient benefits

Clinical value

Related Content

1 Fischbach M, Issad B, Dubois V, Taamma R. The beneficial influence on the effectiveness of automated peritoneal dialysis of varying the dwell time (short/long) and fill volume (small/large): randomized controlled trial. Peritoneal Dialysis International 2011; 31(4):450-8