PD in the elderlya challenge for the (pre)dialysis team
Zaans Medical Center, Department of Nephrology, Zaandam, the Netherlands
Correspondence and offprint requests to: M. M. Ho-dac-Pannekeet, MD, PhD, Department of Internal Medicine, Zaans Medical Centre, Julianaplein 58, 1502 DV Zaandam, The Netherlands. Email: mhodac{at}planet.nl
Peritoneal dialysis in elderly patients is not widely applied, although data show that PD is often preferred by elderly patients. This paper describes current restrictions to the application of PD in elderly patients and their possible solutions. This includes (contra) indications to PD as well as data on patients preference, quality of life specific for elderly patients and data on outcome of PD in older patients. The possibility of assisted peritoneal dialysis is offered as a challenge to the dialysis team.
Keywords: peritoneal dialysis; elderly; quality of life; assisted PD