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Published on: July 19, 2018
[Peritoneal dialysis : what the general practitioner should know about peritoneal dialysis]
Mélissa Schneider1, Menno Pruijm1, Georges Halabi1
1Service de néphrologie et hypertension, CHUV, 1011 Lausanne.
Revue Medicale Suisse
|March 5, 2020
Summary
Peritoneal dialysis (PD) is a viable renal replacement therapy for elderly patients, offering good tolerance and economic benefits. Primary care physicians need to understand its basic principles due to increasing PD use in this population.
Area of Science:
- Nephrology
- Geriatrics
Background:
- Peritoneal dialysis (PD) was historically deemed unsuitable for elderly individuals.
- Recent evidence suggests elderly patients tolerate PD well, often better than other renal replacement therapies.
- Economic advantages of PD have been recognized globally over the last decade.
Purpose of the Study:
- To review essential treatment principles of peritoneal dialysis.
- To inform primary care physicians about the increasing use and feasibility of PD in elderly patients.
Main Methods:
- Literature review of recent studies on PD in the elderly.
- Analysis of economic data related to PD.
- Synthesis of basic PD treatment principles.
Main Results:
- PD is well-tolerated, and potentially superior, in elderly populations.
- PD presents significant economic benefits compared to other renal replacement methods.
- The utilization of PD is growing, necessitating physician awareness.
Conclusions:
- Peritoneal dialysis is a feasible and beneficial renal replacement option for the elderly.
- Primary care physicians require updated knowledge on PD management for this demographic.
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