国際腹膜透析学会（ISPD）ガイドライン/勧告

1 peritoneal dialysis International, Vol. 36, pp. 481 $ + .00 Copyright 2016 International Society for peritoneal Dialysis481 ISPD 2016 Philip Kam-Tao Li,1 Cheuk Chun Szeto,1 Beth Piraino,2 Javier de Arteaga,3 Stanley Fan,4 Ana E. Figueiredo,5 Douglas N. Fish,6 Eric Goffin,7 Yong-Lim Kim,8 William Salzer,9 Dirk G. Struijk,10 Isaac Teitelbaum,11 and David W. Johnson12 Department of Medicine and Therapeutics,1 Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong; University of Pittsburgh School of Medicine,2 Pittsburgh, PA, USA; Department of Nephrology,3 Hospital Privado and Catholic University, Cordoba, Argentina; Department of Renal Medicine and Transplantation,4 Barts Health NHS Trust, London, UK; Nursing School-FAENFI,5 Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre, Brazil; Department of Clinical Pharmacy,6 Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO, USA; Department of Nephrology,7 Cliniques Universitaires Saint-Luc, Universit catholique de Louvain, Belgium.

2 Department of Internal Medicine,8 Kyungpook National University School of Medicine, Clinical Research Center for End Stage Renal Disease, Daegu, Korea; University of Missouri-Columbia School of Medicine,9 Department of Internal Medicine, Section of Infectious Disease, MI, USA; Department of Nephrology,10 Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; University of Colorado Hospital,11 Aurora, CO, USA; and Department of Nephrology,12 University of Queensland at Princess Alexandra Hospital, Brisbane, Australia ISPD / KEY WORDS: ISPD PD 1 5 PD 16% 1-6 PD 1 1,5,7,8 PD ISPD 1983 1993 1996 2000 2005 2010 (9 14) 5 1.

3 2. 3. 4. 5. 2015 Grades of Recommendation Assessment, Development and Evaluation GRADE 15 Level 1( ) Level 2( ) quality A (high quality) B (moderate quality) C (low quality) D (very low quality) Correspondence to: Philip Kam-Tao Li, CUHK Carol & Richard Yu PD Research Centre, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Received 20 March 2016; accepted 4 May Dial Int 2016; 36(5):481 508 epub ahead of print: 09 June 2016 et al.

4 SEPTEMBER 2016 - VOL. 36, NO. 5 PDI PD 16 PD 1 1 (1C) % (1C) 1 ( ) ( ) (CQI) PD 17-19 PD 1 PD PD 20 (empirical.)

5 (1,3,14,19,21 26) PD (27,28) 1 (13,29) 1 ISPD 1 4 (6,12,30) ESI PD (31) ESI ESI (1A) ISPD position paper (32) (33) (34,35) (36) (35,36) IV 4 RCT 4 RCT 3 (34 36) 35 1 1 1 36 IV 4 (37)

6 ( ) 483 PDI SEPTEMBER 2016 - VOL. 36, NO. 5 ISPD 2016 PD 4 RCT 38-41 1 38 3 (39-41) 42 2 43,44 4 6 (45-47) 45 2 RCT 1 (46)

7 1 47 presternal) 1 (48) PD RCT 8 (49 55) 2 (42,56) Tenckhoff 2 RCT (57,58) 2 (59 62) 2 RCT (63) (64) continuous ambulatory PD CAPD flush before fill 1 (1A) CAPD Y connection systems with the flush before fill (65 80) 2 Y system 1/3 (42,81) double bag Y system 1 (82) 2 (42,81) (42) machine-assisted automated PD(APD) CAPD (83 91) RCT APD CAPD PD ISPD (92) PD (1C) PD (92 103)

8 PD PD PD (103) PD ISPD (92,93) PD PD PD PD PD PD PD (104 109) 22 1 (110) 484LI et al. SEPTEMBER 2016 - VOL. 36, NO. 5 PDI (98,100) (98,111) PD 6 (102) 2 (98,101) 1 RCT (112) PD (98) 2 (14,92) PD PD (113 120) RCT low-glucose-degradation-product( GDP)PD (117,121)

9 6 RCT attrition bias GDP PD (122) 1B) (1C) 14 3 (123) RCT ESI (37,42,124 131) (132) 14 3 RCT 11 72% 40 (127) 1 1 (133) ESI (134) PD (135) (136) (137 140) (141) ESI ESI RCT (125) 2 (126,142) ESI (143,144)

10 485 PDI SEPTEMBER 2016 - VOL. 36, NO. 5 ISPD 2016 RCT (145) RCT 3 ) PD (146) 1 RCT ESI (147) 2 RCT (148,149) 1 (125) (124)