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Related Experiment Videos

Chronic peritoneal dialysis in the elderly.

Nada Dimkovic1, Dimitrios G Oreopoulos

  • 1Department of Medicine, Toronto Western Hospital, University Health Network and University of Toronto, Toronto, Ontario, Canada.

Seminars in Dialysis
|April 16, 2002
PubMed
Summary

Peritoneal dialysis (PD) offers advantages for elderly patients with end-stage renal disease (ESRD), including stability and independence. Successful PD in seniors requires support systems to manage complications and comorbid conditions.

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Area of Science:

  • Nephrology
  • Geriatrics
  • Internal Medicine

Background:

  • The number of elderly patients with end-stage renal disease (ESRD) is increasing.
  • Peritoneal dialysis (PD) presents specific advantages for this demographic.
  • Early referral for PD access is crucial for managing uremia and reducing morbidity.

Purpose of the Study:

  • To evaluate the efficacy and challenges of peritoneal dialysis in elderly patients with ESRD.
  • To identify factors influencing the success and complications of PD in seniors.

Main Methods:

  • Review of available data on elderly patients undergoing peritoneal dialysis.
  • Analysis of modality-related complications, survival influences, and patient compliance.
  • Assessment of the impact of comorbid conditions and psychosocial status.

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Main Results:

  • Elderly patients on PD experience benefits like hemodynamic stability, metabolic control, and hypertension management.
  • Complications such as peritonitis and infections occur similarly to younger patients.
  • Comorbidities, malnutrition, and psychosocial factors impact survival, but elderly patients show high compliance and motivation.

Conclusions:

  • Peritoneal dialysis is a viable option for elderly ESRD patients, offering significant advantages.
  • Successful PD requires robust social and medical support systems to address challenges posed by comorbid conditions.
  • Elderly patients' compliance and positive psychological outlook contribute to successful PD outcomes.