Selecting Peritoneal Dialysis in the Older Dialysis Population
Open Access
- 1 November 2015
- journal article
- review article
- Published by SAGE Publications in Peritoneal Dialysis International
- Vol. 35 (6), 618-621
- https://doi.org/10.3747/pdi.2014.00346
Abstract
Selecting peritoneal dialysis (PD) in older individuals is a complex, multi-step process. At each step, older individuals may not have the opportunity to receive PD unless care is optimized. Older individuals are less likely to complete a PD assessment, because of unstable medical conditions, consideration of palliative care, or reluctance to approach frail patients once they are established on hemodialysis (HD). Older individuals are also more likely to have medical or social conditions that contraindicate PD or to have barriers to self-care PD that may not be overcome with support. Older individuals who are eligible for PD may be reluctant to choose it, leaving HD as the default modality. Finally, receipt of PD may be compromised by urgent HD or PD catheter-related complications at the time of insertion. Despite all these challenges, older patients can do very well on PD, so each step should be well understood and optimized in renal programs to maximize PD use in older patients.Keywords
This publication has 21 references indexed in Scilit:
- End-Stage Renal Disease in Nursing Homes: A Systematic ReviewJournal of the American Medical Directors Association, 2013
- Patients' Preferences Regarding Choice of End-Stage Renal Disease Treatment OptionsAmerican Journal of Nephrology, 2013
- Geriatric Assessment for the NephrologistSeminars in Dialysis, 2012
- Differences Between Dialysis Modality Selection and InitiationAmerican Journal of Kidney Diseases, 2012
- Is Assisted Peritoneal Dialysis Associated with Technique Survival When Competing Events Are Considered?Clinical Journal of the American Society of Nephrology, 2012
- Cognitive Impairment in Peritoneal Dialysis PatientsAmerican Journal of Kidney Diseases, 2011
- Home care assistance and the utilization of peritoneal dialysisKidney International, 2007
- Use of the embedded peritoneal dialysis catheter: Experience and results from a North American CenterKidney International, 2006
- Peritoneal and hemodialysis: II. Mortality risk associated with initial patient characteristicsKidney International, 2002
- Predicting a patient's choice of dialysis modality:Experience in a United Kingdom renal departmentAmerican Journal of Kidney Diseases, 2001