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2015 ; 35
(6
): 618-21
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Selecting Peritoneal Dialysis in the Older Dialysis Population
#MMPMID26702000
Oliver MJ
; Quinn RR
Perit Dial Int
2015[Nov]; 35
(6
): 618-21
PMID26702000
show ga
Selecting peritoneal dialysis (PD) in older individuals is a complex, multi-step
process. At each step, older individuals may not have the opportunity to receive
PD unless care is optimized. Older individuals are less likely to complete a PD
assessment, because of unstable medical conditions, consideration of palliative
care, or reluctance to approach frail patients once they are established on
hemodialysis (HD). Older individuals are also more likely to have medical or
social conditions that contraindicate PD or to have barriers to self-care PD that
may not be overcome with support. Older individuals who are eligible for PD may
be reluctant to choose it, leaving HD as the default modality. Finally, receipt
of PD may be compromised by urgent HD or PD catheter-related complications at the
time of insertion. Despite all these challenges, older patients can do very well
on PD, so each step should be well understood and optimized in renal programs to
maximize PD use in older patients.
free
free
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