Chronic peritoneal dialysis in the elderly: a review

Area of Science:

• Nephrology
• Geriatrics
• Internal Medicine

Background:

• End-stage renal disease (ESRD) patterns have shifted, with a growing prevalence of elderly patients.
• Elderly populations exhibit physiological decline, necessitating tailored end-stage renal disease management.
• Informed patient choice regarding dialysis modality is crucial for optimizing quality of life.

Purpose of the Study:

• To evaluate the suitability and advantages of peritoneal dialysis for elderly patients with end-stage renal disease.
• To highlight factors influencing successful peritoneal dialysis in older adults.

Main Methods:

• Review of available data on peritoneal dialysis in elderly patients.
• Analysis of patient compliance, complication rates, and quality of life outcomes.
• Assessment of the impact of comorbidities and support systems on treatment success.

Main Results:

• Peritoneal dialysis provides benefits like hemodynamic stability, metabolic control, and hypertension management for elderly patients.
• Early referral for peritoneal dialysis access is associated with reduced uremia consequences and hospitalizations.
• Elderly patients demonstrate good compliance and satisfactory quality of life with peritoneal dialysis.
• Comorbidities can be managed with adequate family or integrated medical and social support systems.

Conclusions:

• Peritoneal dialysis is a viable and advantageous option for elderly patients with end-stage renal disease.
• Successful peritoneal dialysis in older adults is achievable with appropriate support structures.
• Individualized patient education and support are key to maximizing quality of life in elderly dialysis patients.