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Related Experiment Videos

APD in the elderly.

Pradeep Kadambi1, Laura Troidle, Nancy Gorban-Brennan

  • 1Hospital of St. Raphael, New Haven CAPD, New Haven, Connecticut, USA.

Seminars in Dialysis
|November 20, 2002
PubMed
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Automated peritoneal dialysis (APD) is a viable treatment for elderly patients with end-stage renal disease (ESRD). While older adults have higher mortality, APD shows comparable technique failure and peritonitis rates to younger patients.

Area of Science:

  • Nephrology
  • Geriatrics
  • Internal Medicine

Background:

  • Elderly patients (>or=65 years) are underrepresented in chronic peritoneal dialysis (CPD) despite end-stage renal disease (ESRD) prevalence.
  • Automated peritoneal dialysis (APD) effectiveness in this demographic requires further evaluation.

Purpose of the Study:

  • To assess the efficacy of APD in elderly ESRD patients.
  • To compare outcomes between elderly and younger APD cohorts.

Main Methods:

  • Comparative analysis of outcome measures in different age groups on APD.
  • Evaluation included mortality, technique failure, peritonitis rates, and quality of life (SF-36).

Main Results:

  • Elderly APD patients exhibited higher mortality rates than younger counterparts.

Related Experiment Videos

  • Technique failure and overall peritonitis rates were similar across age groups.
  • Higher gram-negative peritonitis rates and lower SF-36 physical scores were noted in the elderly.

    • Conclusions:

    • APD is a suitable treatment option for elderly patients with ESRD.
    • Consideration of APD for elderly individuals with progressive renal failure is warranted.