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Improving outcome in geriatric peritoneal dialysis patients
1Department of Nephrology, Okayama Saiseikai General Hospital, Okayama, Japan. byouin@okayamasaiseikai.or.jp
Summary
Peritoneal dialysis (PD) is a viable option for elderly patients, maintaining residual renal function and offering a good quality of life. Elderly PD patients showed comparable outcomes to younger patients, suggesting PD as a preferred dialysis choice.
Area of Science:
- Nephrology
- Geriatrics
- Internal Medicine
Background:
- Limited data exist regarding the efficacy and outcomes of peritoneal dialysis (PD) in elderly populations.
- Understanding the specific needs and challenges of elderly patients initiating PD is crucial for optimizing treatment.
Purpose of the Study:
- To review the clinical experience with patients aged 70 years or older undergoing peritoneal dialysis (PD).
- To compare outcomes, quality of life, and survival rates between elderly and younger PD patients.
Main Methods:
- Retrospective study at a single Japanese center (1991-2001).
- Compared 72 patients aged ≥70 years with 150 patients aged <70 years on PD.
- Evaluated clinical data, dialysis prescriptions, functional assessments, quality of life (QOL), comorbidities, and survival.
Main Results:
- Elderly PD patients required lower doses of erythropoietin and dialysis solution, with well-maintained residual renal function.
- Elderly patients demonstrated higher scores in cognitive, physical, and daily living assessments compared to hemodialysis patients.
- Median technique survival for elderly PD patients was 31.5 months; common causes of death included heart failure and cerebrovascular disease.
Conclusions:
- Peritoneal dialysis (PD) is a suitable and effective treatment option for elderly patients.
- PD should be considered the preferred method for initiating dialysis in the elderly population.
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