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Myths in peritoneal dialysis.

Martin B Lee1, Joanne M Bargman

  • 1aDivision of Nephrology, University Medicine Cluster, National University Health System, Singapore bDivision of Nephrology, University Health Network, Toronto, Ontario, Canada.

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|September 2, 2016
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Summary

Peritoneal dialysis is a cost-effective renal replacement therapy with outcomes comparable to hemodialysis. This review clarifies misconceptions about peritoneal dialysis, aiming to increase its appropriate use and improve patient quality of life.

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Area of Science:

  • Nephrology
  • Renal Replacement Therapy
  • Dialysis Modalities

Background:

  • Peritoneal dialysis (PD) is a cost-effective renal replacement therapy.
  • PD offers clinical outcomes comparable to conventional in-centre hemodialysis (HD).
  • Misconceptions about PD feasibility and risks limit its uptake and continuation.

Purpose of the Study:

  • To clarify misconceptions surrounding peritoneal dialysis.
  • To address inaccurate beliefs that limit PD use.
  • To reduce overly cautious practices regarding PD therapy.

Main Methods:

  • Critical review of evidence regarding PD feasibility and risks.
  • Examination of 'myths' associated with PD.
  • Analysis of PD in specific patient populations (e.g., post-surgery, obesity).

Main Results:

  • Peritoneal dialysis is feasible and safe in patients with prior surgery, ostomies, obesity, and mesh hernia repairs.
  • Concerns about mediastinitis after coronary artery bypass graft surgery are often overstated.
  • Hypertonic glucose dialysate does not cause peritoneal membrane failure.

Conclusions:

  • Clarifying myths can increase appropriate peritoneal dialysis use.
  • Reducing misconceptions improves patient quality of life.
  • Peritoneal dialysis is a viable and effective option for many patients.