Better kidney dialysis schedules for children in resource-limited areas

This trial compares two ways of giving peritoneal dialysis—a kidney treatment—to children with end-stage kidney disease. One approach follows the standard schedule, while the modified approach adds short, low-volume dialysis exchanges before the regular ones. The goal is to see whether the modified approach works better at removing fluid and waste from the body, uses less supplies, and puts less burden on families.

Standard dialysis schedules often waste treatment fluid and may not remove enough fluid or waste for all children, especially in areas where electricity and expensive machines aren't available. This trial tests whether a smarter schedule—borrowing ideas from automated dialysis but designed for manual setups—can improve outcomes while stretching resources further.