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Urgent-start peritoneal dialysis (USPD): A Literature Review


Peritoneal dialysis can be a treatment for kidney replacement therapy, and the lining of the abdomen can be used as the filter for dialysis. The dialysate is inserted into the abdomen through a peritoneal dialysis catheter. Conventionally, people would wait two weeks after getting a catheter insertion before starting dialysis. This period was to give enough time for the wound to heal correctly. But some studies found that chronic kidney disease patients who need to begin dialysis immediately after having a catheter insert (urgent-start peritoneal dialysis) had similar results to those who started dialysis more than two weeks after inserting the catheter (conventional-start peritoneal dialysis). Peritoneal dialysis is a significant method of kidney replacement therapy. Most patients who need dialysis right away are given hemodialysis instead of peritoneal dialysis, which means that peritoneal dialysis is not used as much as it could be. Urgent-start peritoneal dialysis is an effective and cost-effective option instead of starting conventional dialysis. There is not enough evidence to help guide the treatment, but involvement of the knowledge with this technique is required. This article overviews why urgent-start peritoneal dialysis is important and how it can be used in practice.


  1. Teitelbaum I. Peritoneal dialysis. N Engl J Med. 2021;385:1786–95.
  2. Karopadi A, Mason G, Rettore E, Ronco C. Cost of peritoneal dialysis and hemodialysis across the world. Nephrol Dial Transplant. 2013;28:2553–69.
  3. Tunbridge M, Cho Y, Johnson D. Urgent-start peritoneal dialysis: is it ready for prime time? Curr Opin Nephrol Hypertens. 2019;28:631–40.
  4. Arramreddy R, Zheng S, Saxena A, Liebman S, Wong L. Urgent-start peritoneal dialysis: a chance for a new beginning. Am J Kidney Dis. 2014;63:390–5.
  5. Ivarsen P, Povlsen J. Can peritoneal dialysis be applied for unplanned initiation of chronic dialysis? Nephrol Dial Transplant. 2014;29:2201–6.
  6. Javaid M, Lee E, Khan B, Subramanian S. Description of an urgent-start peritoneal dialysis program in Singapore. Perit Dial Int. 2017;37:500–2.
  7. Blake P, Jain A. Urgent start peritoneal dialysis – defining what it is and why it matters. Clin J Am Soc Nephrol. 2018;13:1278–9.
  8. Uchino S, Kellum J, Bellomo R, Doig G, Morimatsu H, Morgera S, et al. Acute renal failure in critically ill patients: a multinational, multicentre study. JAMA. 2005;294:813–8.
  9. Burdmann E, Chakravarthi R. Peritoneal dialysis in acute kidney injury: lessons learned and applied. Semin Dial. 2011;24:149–56.
  10. Gabriel D, Caramoni J, Martim L, Barretti P, Balbi A. High volume peritoneal dialysis vs. daily haemodialysis: a randomised, controlled trial in patients with acute kidney injury. Kidney Int. 2008;73:S87–93.
  11. See E, Cho Y, Hawley C, Jaffrey L, Johnson D. Early and late patient outcomes in urgent-start peritoneal dialysis. Perit Dial Int. 2017;37:414–9.
  12. Hassan R, Akbari A, Brown P, Hiremath S, Brimble S, Molnar. A. Risk factors for unplanned dialysis initiation: a systematic review of the literature. Can J Kidney Health Dis. 2019;6:1–14.
  13. Keating P, Walsh M, Ribic C, Brimble K. The impact of patient preference on dialysis modality and haemodialysis vascular access. BMC Nephrol. 2014;15:38.
  14. Daugirdas J, Blake P, Ing T. Handbook of dialysis. 5th ed. Philadelphia: Wolters Kluwer Health; 2015. p. 402–73.
  15. KDIGO [Internet]. Brussels. Kidney disease – improving global outcomes; 2021. Acute kidney injury guidelines. 2012 March [cited 2021 December 20]; [about 3 screens]. Available at: AKI-Guideline-English.pdf.
  16. Htay H, Johnson DW, Craig JC, Teixeira-Pinto A, Hawley CM, Cho Y. Urgent-start peritoneal dialysis versus haemodialysis for people with chronic kidney disease (Review). 2021. Cochrane Database of Systematic Reviews 2021, Issue 1. Art. No.: CD012899.
  17. Neelam M. Bhalla, Neiha Arora, Jeanne A. Darbinian, and Sijie Zheng. Urgent Start Peritoneal Dialysis: A Population-Based Cohort Study. 2022. Kidney Med Vol 4.
  18. Julian Yaxley, Tahira Scott. Urgent-start peritoneal dialysis. 2022. Nefrologia 2022. Available at: .
  19. The Renal Association Guidelines [Internet]. Bristol. The UK Kidney Association; 2021. Clinical practice guidelines for peritoneal access and commentary on the 2019 ISPD update for the creating and maintaining optimal peritoneal dialysis access. 2019 [cited 2021 December 20]; [about 4 screens]. Availableat: 20Access.pdf
  20. Maria Claudia Cruz Andreoli, Claudia Totoli. Peritoneal Dialysis. 2020. REV ASSOC MED BRAS; 66(SUPPL 1):S:37-S44.
  21. Chan C, Blankestijn P, Dember L, Gallieni M, Harris D, Lok C, et al. Dialysis initiation, modality choice, access, and prescription: conclusions from a kidney disease – improving global outcomes controversies conference. Kidney Int. 2019;96:37–47.
  22. Cullis B, Al-Hwiesh A, Kilonzo K, McCulloch M, Niang A, Nourse P, et al. ISPD guidelines for peritoneal dialysis in acute kidney injury: 2020 update (adults). Perit Dial Int. 2021;41:15–31.
  23. Cho Y, Bello AK, Levin A, et al. Peritoneal dialysis use and practice patterns: an international survey study. Am J Kidney Dis 2021;77:315-25.
  24. Graham Woodrow et al. Clinical Practice Guideline Peritoneal Dialysis in Adults and Children. 2017. Renal Association Clinical Practice Guideline - Peritoneal Dialysis
  25. Arramreddy R, Zheng S, Saxena A, Liebman S, Wong L. Urgent-start peritoneal dialysis: a chance for a new beginning. Am J Kidney Dis. 2014;63:390–

How to Cite

Wisadianta, G. R. ., & Ni Wayan Anantika Riani. (2023). Urgent-start peritoneal dialysis (USPD): A Literature Review. Intisari Sains Medis, 14(2), 886–892.




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Gede Resha Wisadianta
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Ni Wayan Anantika Riani
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ISM Journal