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Peritoneal dialysis in the elderly--is its underutilization justified?
Summary
Peritoneal dialysis (PD) offers comparable or better quality of life for elderly patients compared to hemodialysis. These findings support increased use of PD in older adults.
Area of Science:
- Nephrology
- Geriatric Medicine
- Quality of Life Research
Background:
- Peritoneal dialysis (PD) is underutilized in the elderly population.
- Limited data exist on PD's comparative outcomes and quality of life versus other dialysis modalities in older adults.
Discussion:
- The BOLDE study compared quality of life (cognitive function, deprivation, illness intrusiveness) in elderly patients on PD versus hemodialysis.
- Matched patient cohorts (age > 65) were analyzed in this cross-sectional study.
Key Insights:
- Quality of life was similar, and potentially better, for elderly patients treated with PD compared to hemodialysis.
- Cognitive function and illness intrusiveness did not differ significantly between PD and hemodialysis groups.
Outlook:
- Findings suggest PD is a viable and potentially advantageous dialysis modality for elderly patients.
- Increased utilization of PD in older individuals is warranted based on these quality-of-life outcomes.
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