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Peritoneal dialysis in older individuals
1Department of Medicine, Georgetown University Medical Center, Washington, DC, USA. jwinch@ix.netcom.com
Geriatric Nephrology and Urology
|March 4, 2000
Summary
Peritoneal dialysis offers elderly patients an independent, home-based renal replacement therapy option. With proper training and support, contraindications are minimal, making it a viable alternative to hemodialysis.
Area of Science:
- Nephrology
- Geriatric Medicine
Background:
- Renal replacement therapy is crucial for elderly patients with kidney failure.
- Hemodialysis is a common treatment, but may present challenges for the elderly.
Purpose of the Study:
- To evaluate peritoneal dialysis as a treatment for elderly patients.
- To highlight the advantages of peritoneal dialysis in this demographic.
Main Methods:
- Review of existing literature on peritoneal dialysis in elderly patients.
- Analysis of benefits and contraindications.
Main Results:
- Peritoneal dialysis provides independence and allows for home treatment.
- Preservation of residual renal function may be possible.
- Contraindications are few and manageable with training and support.
Conclusions:
- Peritoneal dialysis is a practical and beneficial alternative to hemodialysis for elderly individuals.
- Specialized training and the involvement of healthcare partners can facilitate successful implementation.