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However, the effect of icodextrin on patient-relevant outcomes remains unclear. This review aims to evaluate the benefits and harms of icodextrin in comparison with conventional glucose PD solution in patients with end-stage kidney disease receiving PD. Methods: Randomized controlled trials of icodextrin comparing with conventional glucose solution in patients with end-stage kidney disease who received PD will be deemed eligible. Furthermore, we will check conference proceedings and search references from relevant studies manually.
Relevant pharmaceutical companies, authors, and experts will be contacted in an effort to identify further studies. We will not apply any limitations regarding language, publication status, and publication date when searching for eligible studies. The selection of studies, data extraction, and risk of bias assessment will be carried out by two independent reviewers.
Data synthesis will be performed using RevMan 5 software with either a fixed effects model or random-effects model, depending on the presence of heterogeneity. Icodextrin also increased peritoneal clearances of creatinine and urea nitrogen compared with 2. Icodextrin reduced the percentage of patients with net negative UF in contrast to 1. The use of icodextrin was also associated with some symptomatic improvements and health-related quality of life advantages, and no adverse effect on patient survival, compared with dextrose, although confirmation of these findings is ideally required in appropriately designed studies.
The tolerability of icodextrin was generally similar to that of dextrose-based solutions in controlled clinical trials, although there was an approximate three-fold increase in the risk of new skin rash 5. However, reports of severe cutaneous hypersensitivity reactions remain rare; this possibility should not preclude the use of the polymer. Conclusion: 7.
WebBaxter is firmly committed to support patients and their healthcare providers throughout the entire continuum of care - from acute kidney injury to end-stage chronic kidney disease. . WebJan 30, аи Methods: Randomized controlled trials of icodextrin comparing with conventional glucose solution in patients with end-stage kidney disease who received PD . WebPatients using EXTRANEAL (icodextrin) for peritoneal dialysis may have incorrect blood glucose results when using particular blood glucose monitors and testing strips. ONLY .