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Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
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[Assisted peritoneal dialysis].

Elena Alberghini, Francesco Rastelli, Raffaella Di Nardo

    Giornale Italiano Di Nefrologia : Organo Ufficiale Della Societa Italiana Di Nefrologia
    |December 16, 2014
    PubMed
    Summary
    This summary is machine-generated.

    Assisted peritoneal dialysis (PD), utilizing healthcare workers as caregivers, offers a viable solution to overcome barriers to PD treatment. This approach demonstrates lower costs and positive patient reception compared to traditional hemodialysis.

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    Area of Science:

    • Nephrology
    • Public Health

    Background:

    • Peritoneal dialysis (PD) prevalence in Italy is low (<10%), hindered by lack of patient/family support.
    • Lack of support prevented 155 new patients from starting PD and caused 17 to stop in Lombardy (2012).
    • Assisted PD (AP) involved 24.5% of patients in 2010, with family as primary caregiver (80.8%).

    Purpose of the Study:

    • To evaluate the feasibility and outcomes of an Assisted PD program using healthcare workers as caregivers.
    • To assess the cost-effectiveness of Assisted PD compared to hospital hemodialysis.

    Main Methods:

    • Initiated an Assisted PD program in January 2004 with healthcare workers as caregivers.
    • Treated 4 patients in the first 6 months, 3 previously on hemodialysis.
    • Monitored for critical cases and patient satisfaction.

    Main Results:

    • No critical cases were reported.
    • Patients welcomed the Assisted PD solution.
    • Assisted PD costs were lower than hospital hemodialysis.

    Conclusions:

    • Assisted PD with healthcare workers is a safe and effective alternative for patients lacking autonomy or family support.
    • The program's success led to increased funding and patient inclusion.
    • This model can potentially increase PD utilization by addressing support barriers.