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[Dialysis in end-stage kidney disease]
Alferso C Abrahams1, Brigit C van Jaarsveld2,3
1UMC Utrecht, afd. Nefrologie en Hypertensie, Utrecht.
Nederlands Tijdschrift Voor Geneeskunde
|May 12, 2020
Summary
Patients with end-stage kidney disease can choose between kidney transplantation, dialysis, or conservative treatment. Both haemodialysis and peritoneal dialysis (PD) have unique benefits and complications impacting patient quality of life.
Area of Science:
- Nephrology
- Renal Replacement Therapy
Background:
- End-stage kidney disease (ESKD) necessitates renal replacement therapy (RRT).
- Treatment options include kidney transplantation, haemodialysis, peritoneal dialysis (PD), and conservative management.
- Dialysis modalities significantly impact patient quality of life and present distinct challenges.
Purpose of the Study:
- To compare haemodialysis and peritoneal dialysis (PD) as RRT options for ESKD patients.
- To outline the methods, complications, and quality of life implications of each dialysis modality.
Main Methods:
- Haemodialysis involves extracorporeal blood filtration via an artificial kidney, typically three times weekly.
- Peritoneal dialysis (PD) utilizes the peritoneum for fluid and toxin removal through catheter-based exchanges, performed daily at home.
- Comparison of treatment delivery settings (hospital vs. home) and patient management.
Main Results:
- Haemodialysis complications include vascular access issues and intradialytic hypotension.
- Peritoneal dialysis (PD) complications involve peritonitis and membrane failure.
- Both modalities require significant patient commitment and affect daily living.
Conclusions:
- Haemodialysis and peritoneal dialysis (PD) offer distinct approaches to managing ESKD.
- Patient choice should consider the specific benefits, risks, and lifestyle impacts of each treatment.
- Understanding modality-specific complications is crucial for effective patient care and management.
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