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Peritoneal Equilibrium & Adequacy Test

DNA Labs India | ISO 9001:2015 Certified

Peritoneal Equilibrium & Adequacy Test

Short Name: PET Test

Also known as: Peritoneal Equilibrium Test, PET Test, Peritoneal Adequacy Test

Peritoneal Equilibrium & Adequacy Test test available at DNA Labs India for ₹3,500. Uses Spectrophotometry on Peritoneal dialysate fluid, Urine, Serum, Plasma samples. Results in Reports are typically available within 24 hours after the laboratory receives the samples.. Free home collection in 300+ cities across India.

Renal / Nephrology🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this test is to formally evaluate the peritoneal membrane transport characteristics, measure the transfer rates of creatinine and glucose, and assess dialysis adequacy through solute clearance tracking. It helps nephrologists classify patients as low, low-average, high-average or high transporters, tailor CAPD or CCPD prescriptions, and ensure efficient dialysis dosing.

Test Code
3545
Price
₹3,500
Sample Type
Peritoneal dialysate fluid, Urine, Serum, Plasma
Result Time
Reports are typically available within 24 hours after the laboratory receives the samples.
Fasting Required
No
Method
Spectrophotometry
Step 1

Sample Collection

No special preparation required. Continue dialysis as prescribed. Inform your doctor about any active infections or recent changes in medication.

Method: Timed collection of peritoneal dialysate at 0, 2, 4 hours, overnight and 24 hours; 24-hour urine; paired blood samples

Step 2

Laboratory Analysis

Timed peritoneal dialysate collections are done at 0, 2, 4 hours, overnight, and 24 hours. A 24-hour urine collection is required. Blood samples (serum and plasma) are collected at the appropriate time during dialysis.

Step 3

Report Delivery

All samples should be shipped refrigerated. Do not freeze. The laboratory will process samples for spectrophotometric analysis.

Timeline: Reports are typically available within 24 hours after the laboratory receives the samples.

Patient Instructions

1
Before the Test:No special preparation is required. Continue your peritoneal dialysis as prescribed. Inform your healthcare team if you have or suspect peritonitis or any active infection.
2
During the Test:The test involves timed collection of peritoneal dialysate samples at 0, 2, 4 hours, overnight, and 24-hour urine and blood draws. The procedure is minimally invasive and is performed in an outpatient setting or at home with home collection support.
3
After the Test:After collection, samples must be kept refrigerated until shipment to the laboratory. Your doctor will review the results and discuss any changes to your dialysis plan.

About This Test

Who Should Get This Test

The purpose of this test is to formally evaluate the peritoneal membrane transport characteristics, measure the transfer rates of creatinine and glucose, and assess dialysis adequacy through solute clearance tracking. It helps nephrologists classify patients as low, low-average, high-average or high transporters, tailor CAPD or CCPD prescriptions, and ensure efficient dialysis dosing.

How to Prepare

  • Collect peritoneal dialysate in sterile screw-capped containers at the specified time points: 0 hour, 2 hours, 4 hours, overnight, and 24 hours.
  • Collect 24-hour urine in a clean sterile container; measure and record the total volume.
  • Collect 2 mL serum in an SST and 2 mL plasma in a Grey Top (sodium fluoride) tube.
  • Label all containers clearly with patient name, time point, and collection date.
  • Ship samples refrigerated immediately. Do not freeze.

Doctor's Notes

Reviewed by — MBBS, MD (Biochemistry) · Reg. No. 21504

"The PET test is essential for personalizing dialysis prescriptions and monitoring peritoneal membrane function over time. It helps us tailor therapy to each patient's unique transport characteristics."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypePeritoneal dialysate fluid, Urine, Serum, Plasma
Sample Volume10 mL (5 mL min.) dialysate per time point, 10 mL (5 mL min.) urine, 2 mL serum, 2 mL plasma
ContainerSterile screw capped container for dialysate and urine; SST for serum; Grey Top (Sodium fluoride) for plasma
Collection MethodTimed collection of peritoneal dialysate at 0, 2, 4 hours, overnight and 24 hours; 24-hour urine; paired blood samples

Sample Stability

Dialysate: Room temperature 6 hours, Refrigerated 72 hours, Frozen not acceptable
Urine: Room temperature 6 hours, Refrigerated 72 hours, Frozen not acceptable
Serum: Same as above
Plasma (sodium fluoride): Same as above
Sample Rejection Criteria:
  • Frozen samples
  • Hemolyzed blood samples
  • Improperly labeled containers
  • Incorrect or unspecified collection time points
  • Samples received in wrong container type

Understanding Your Results

The results are interpreted by correlating peritoneal membrane transport rates with established clinical categories and adequacy targets. The nephrologist uses this information to optimize dialysis prescriptions.
📊

Slow solute transfer; longer dwell times may be beneficial; risk of inadequate clearances with short cycles.

📊

Generally suitable for standard CAPD or CCPD; monitor adequacy.

📊

Typical transporter status; standard dialysis regimens are often effective.

📊

Rapid solute transfer but rapid glucose absorption leading to loss of ultrafiltration; short dwell cycles or alternative modalities may be needed.

⚠️ When to Consult a Doctor:

If you experience fatigue, swelling, nausea, reduced urine output, or other signs of inadequate dialysis, or if your PET results indicate high or low transporter status and your dialysis prescription needs adjustment, consult your nephrologist as soon as possible.

Risks & Considerations

  • Minimal discomfort from blood draw
  • Risk of bruising or infection at venipuncture site
  • No major risks associated with dialysate collection as it is through the existing dialysis catheter

Interfering Factors

  • Active peritonitis or recent peritoneal infection
  • Incomplete collection of dialysate or urine
  • Incorrect timing of dwell periods or sampling
  • Recent administration of substances affecting glucose or creatinine measurement
  • Improper sample storage, especially freezing or delayed transport

Frequently Asked Questions

What is a Peritoneal Equilibrium Test (PET)?
PET is a diagnostic test that evaluates the function of the peritoneal membrane in patients on peritoneal dialysis. It measures the transfer of creatinine and glucose across the membrane to classify transport characteristics and assess dialysis adequacy.
Why is a PET test performed?
A PET test is performed to determine how well the peritoneal membrane is functioning, to assess dialysis adequacy, and to guide adjustments in dialysis prescriptions for patients with chronic kidney disease on peritoneal dialysis.
How is the Peritoneal Equilibrium & Adequacy Test done?
The test requires timed collection of peritoneal dialysate fluid after a dwell period, along with a 24-hour urine collection and blood samples. The samples are sent to the laboratory for spectrophotometric analysis.
What is the cost of a PET test in India?
The cost of a Peritoneal Equilibrium & Adequacy Test in India is approximately INR 3500, although it may vary by location and laboratory. DNA Labs India offers the test at INR 3500 with free home sample collection.
Is fasting required before a PET test?
No, there is no special preparation or fasting required for a Peritoneal Equilibrium & Adequacy Test. You should continue your regular dialysis schedule unless instructed otherwise by your doctor.
What sample is required for the PET test?
The test requires peritoneal dialysate fluid (timed samples), 24-hour urine, serum and plasma samples. Dialysate and urine are collected in sterile screw-capped containers; serum is collected in SST and plasma in a grey top sodium fluoride tube.
How long does it take to get PET test results?
Results are generally available within 24 hours after the laboratory receives the samples. DNA Labs India provides reports online via portal, email, or WhatsApp.
What are the transporter categories in PET?
Based on the test, patients are classified as low, low-average, high-average, or high transporters depending on the rates of creatinine and glucose movement across the peritoneal membrane.
What is dialysis adequacy?
Dialysis adequacy refers to the effectiveness of dialysis in removing waste products and excess fluid from the body. It is assessed using parameters like weekly Kt/V and creatinine clearance, with established target values for optimal outcomes.
What happens if PET results show high transporter status?
A high transporter indicates rapid movement of solutes but faster glucose absorption, leading to reduced ultrafiltration. Your nephrologist may adjust the dialysis prescription, such as shortening dwell time or changing to automated peritoneal dialysis.
Can the PET test be done on any day?
Yes, the test can be performed on a day when the dialysis schedule is stable. However, it is important to follow the exact timed collection protocol to obtain reliable results.
Is home sample collection available for the PET test?
Yes, DNA Labs India offers free home sample collection for the Peritoneal Equilibrium & Adequacy Test across multiple cities in India. You can book online and the sample collection team will visit your location.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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