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Worldwide Experiences with Assisted Peritoneal Dialysis.

Anna Giuliani1, Akash Nayak Karopadi2, Mario Prieto-Velasco3

  • 1Department of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza (IRRIV), San Bortolo Hospital, Vicenza, Italy annagiuliani84@gmail.com.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|September 22, 2017
PubMed
Summary

Assisted peritoneal dialysis (asPD) programs help elderly patients overcome barriers to peritoneal dialysis (PD), increasing its use. These programs show good clinical results, addressing concerns about PD in older adults requiring renal replacement therapy (RRT).

Keywords:
Peritoneal dialysiscaregiverelderlyrenal replacement therapies

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Area of Science:

  • Nephrology
  • Geriatrics
  • Renal Replacement Therapy

Background:

  • End-stage renal disease (ESRD) disproportionately affects the elderly, necessitating renal replacement therapy (RRT).
  • Peritoneal dialysis (PD) is underutilized in elderly populations due to medical, social, and psychological barriers, including fear of self-therapy.
  • Existing literature shows lower PD prevalence compared to hemodialysis (HD) across age groups.

Purpose of the Study:

  • To review the concept of an ideal assisted peritoneal dialysis (asPD) model.
  • To explore strategies and outcomes of successful asPD programs globally.
  • To address barriers hindering PD adoption in elderly and non-self-sufficient patients.

Main Methods:

  • Literature review of published studies on assisted PD programs.
  • Analysis of strategies employed in asPD programs to overcome patient barriers.
  • Evaluation of clinical outcomes reported from various asPD initiatives worldwide.

Main Results:

  • Assisted PD (asPD) programs are emerging globally to facilitate PD use in elderly and dependent patients.
  • These programs aim to mitigate barriers such as fear of self-therapy and medical/social challenges.
  • Preliminary data suggest good clinical outcomes associated with asPD, though wider implementation concerns persist.

Conclusions:

  • Assisted PD (asPD) offers a promising approach to increase PD utilization among elderly and non-self-sufficient patients.
  • Successful asPD programs require specific strategies to address patient-specific barriers.
  • Further research and careful consideration are needed regarding the broader implementation and long-term impact of asPD.