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Developing an assisted automated peritoneal dialysis (aAPD) service-a single-centre experience
1Manchester Institute of Nephrology and Transplantation, Manchester Royal Infirmary, Manchester, UK.
NDT Plus
|May 8, 2015
Summary
Assisted automated peritoneal dialysis (aAPD) offers a viable renal replacement therapy for elderly and frail patients. This dialysis method shows potentially lower complications and less life disruption compared to hospital-based treatments.
Area of Science:
- Nephrology
- Geriatrics
- Renal Replacement Therapy
Background:
- Increasing number of elderly and frail patients require renal replacement therapy.
- Assisted automated peritoneal dialysis (aAPD) is emerging as a distinct dialysis modality.
- Understanding the current status and service provision of aAPD across Europe is crucial.
Purpose of the Study:
- To review the current status and evolution of aAPD in Europe.
- To describe variations in aAPD service provision.
- To report local outcomes of an aAPD patient population over four years.
Main Methods:
- Review of current literature and service provision across Europe.
- Retrospective analysis of local aAPD patient outcomes over four years.
Main Results:
- aAPD is a viable dialysis option for frail, elderly patients with limited lifespan.
- Complications associated with peritoneal dialysis in this population may be lower than anticipated.
- aAPD avoids the life disruption associated with hospital-based dialysis.
Conclusions:
- Assisted automated peritoneal dialysis is a suitable and effective treatment for the elderly and frail.
- The modality offers a less disruptive alternative to in-center dialysis for vulnerable patients.
- Further research into aAPD outcomes in specific patient groups is warranted.
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