Recommendations
- A prospective clinical trial to examine usual compared with tight BP targets and their effect on rate of loss of residual renal clearance among PD patients is needed. Such a trial could also further elucidate the interaction between suppression of proteinuria and preservation of residual renal clearance in this population.
- A prospective clinical trial to examine rapid compared with slow tapering of immunosuppression for patients with failing renal grafts who are initiating PD is needed.