Peritoneal Dialysis during Active War

Area of Science:

• Medical Ethics
• Nephrology
• Global Health

Background:

• Armed conflict severely disrupts medical supply chains, endangering patient care.
• Existing research on resource allocation in conflict primarily focuses on military personnel, neglecting civilian needs.
• Patients with kidney disease requiring dialysis are particularly vulnerable in war-torn regions.

Purpose of the Study:

• To address the critical gap in literature regarding the management of kidney disease patients in conflict zones.
• To discuss the application of peritoneal dialysis for acute and chronic kidney disease in civilian populations during wartime.
• To highlight ethically justified principles for resource utilization in compromised healthcare settings.

Main Methods:

• Literature review focusing on resource scarcity and patient care in armed conflict.
• Analysis of peritoneal dialysis as a viable renal replacement therapy in austere environments.
• Ethical considerations for treatment continuation under duress.

Main Results:

• Peritoneal dialysis presents a feasible and adaptable renal replacement therapy option for civilians in war zones.
• The modality requires fewer resources and less complex infrastructure compared to hemodialysis, making it suitable for conflict settings.
• Ethical frameworks support the prioritization of life-sustaining treatments like dialysis for vulnerable populations.

Conclusions:

• Peritoneal dialysis is a critical intervention for maintaining kidney disease patient care during armed conflict.
• Healthcare providers must adapt treatment strategies to ensure continuity of care for civilians in crisis zones.
• Further research and resource planning are needed to support dialysis access for vulnerable populations in conflict-affected areas.