Peritoneal dialysis in the modern era.

Area of Science:

• Nephrology
• Renal Medicine
• Dialysis Technology

Background:

• Peritoneal dialysis (PD) practice and clinical outcomes have seen substantial improvements over the last two decades.
• Key advancements impact patient survival, modality selection, and patient experience.
• The integration of new technologies and patient-centered approaches has transformed PD care.

Purpose of the Study:

• To update healthcare professionals on current peritoneal dialysis (PD) practices.
• To highlight improvements in patient and technique survival.
• To discuss patient modality selection, pathways onto PD, and pre-transplant PD use.

Main Methods:

• This is a review article, synthesizing current evidence and practices in peritoneal dialysis.
• It incorporates findings related to shared decision-making, surgical techniques, and technological advancements.
• The review also considers the impact of clinical guidelines and quality improvement processes.

Main Results:

• Significant improvements in patient and technique survival rates in peritoneal dialysis (PD).
• Enhanced patient selection and pathways for initiating PD therapy.
• Technological innovations, including remote management for automated PD, have improved patient care and adherence.
• Increased emphasis on shared decision-making empowers patients in modality selection.

Conclusions:

• Modern peritoneal dialysis (PD) offers improved outcomes and patient experiences.
• Continuous quality improvement and evidence-based guidelines are crucial for advancing PD.
• Technological integration and patient-centered care are key to the future of PD.