Yu Cuiying, Sha Pengjie, Jiang Zhixia, Wei Yanli, Gong Bin, Jiang Sha, Wang Rongrong
The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, People's Republic of China.
Department of Nephrology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, People's Republic of China.
J Multidiscip Healthc. 2025 May 15;18:2707-2719. doi: 10.2147/JMDH.S516563. eCollection 2025.
The overload capacity poses great challenges to the management and prognosis of peritoneal dialysis patients. There have been many studies, but they are relatively fragmented and inconsistent. It is urgent to summarize high-quality evidence. The objective of this study is to thoroughly investigate, extract, assess, and synthesize the most relevant evidence about the individualized management of peritoneal volume in patients undergoing peritoneal dialysis. It can be utilized in clinical practice to improve patient outcomes.
The study used the "6S" pyramid model to identify all available evidence related to the personalized management of peritoneal volume among patients receiving peritoneal dialysis. This comprehensive search encompassed various types of evidence, including guidelines, recommended practices, systematic reviews, evidence summaries, expert consensus documents, and original research studies. These were sourced from both domestic and international guideline websites, professional association platforms, as well as relevant databases. The time limit was set from the date of database creation until April 2024, with the search commencing in December 2023.
The systematic search yielded 17 pieces of literature that were ultimately included in the analysis. This collection comprised seven guidelines, four best practices, two documents reflecting expert consensus, two systematic reviews, and two randomized controlled trials. The overall quality of the literature analyzed was found to be high. Through this thorough review, a total of 37 pieces of the best evidence were identified and categorized into three critical aspects: risk factors, comprehensive assessment methodologies, and various intervention strategies.
This study serves as a consolidation of the available evidence regarding the personalized management of peritoneal volume for patients undergoing peritoneal dialysis. It underscores the importance of clinical staff's ability to implement tailored volume management programs that address the unique circumstances of each patient.
容量超负荷给腹膜透析患者的管理和预后带来了巨大挑战。虽然已经有许多研究，但它们相对零散且不一致。迫切需要总结高质量证据。本研究的目的是全面调查、提取、评估和综合关于腹膜透析患者腹膜容量个体化管理的最相关证据。这些证据可用于临床实践以改善患者预后。
本研究采用“6S”金字塔模型来识别与接受腹膜透析患者腹膜容量个体化管理相关的所有可用证据。这一全面搜索涵盖了各种类型的证据，包括指南、推荐实践、系统评价、证据总结、专家共识文件和原始研究。这些证据来源于国内外指南网站、专业协会平台以及相关数据库。时间限制设定为从数据库创建之日至2024年4月，搜索于2023年12月开始。
系统检索最终纳入分析的文献有17篇。这些文献包括七份指南、四项最佳实践、两份反映专家共识的文件、两份系统评价和两项随机对照试验。分析的文献总体质量较高。通过此次全面综述，共识别出37条最佳证据，并将其分为三个关键方面：危险因素、综合评估方法和各种干预策略。
本研究对腹膜透析患者腹膜容量个体化管理的现有证据进行了整合。它强调了临床工作人员实施针对每位患者独特情况的量身定制容量管理方案的能力的重要性。
