Evaluating the benefits of home-based peritoneal dialysis

Abstract

Karlien François, Joanne M Bargman Division of Nephrology, University Health Network Toronto General Hospital, University of Toronto, Toronto, ON, Canada Abstract: Peritoneal dialysis (PD) is an effective renal replacement strategy for patients suffering from end-stage renal disease. PD offers patient survival comparable to or better than in-center hemodialysis while preserving residual kidney function, empowering patient autonomy, and reducing financial burden to payors. The majority of patients suffering from kidney failure are eligible for PD. In patients with cardiorenal syndrome and uncontrolled fluid status, PD is of particular benefit, decreasing hospitalization rates and duration. This review discusses the benefits of chronic PD, performed by the patient or a caregiver at home. Recognition of the benefits of PD is a cornerstone in stimulating the use of this treatment strategy. Keywords: peritoneal dialysis, survival, quality of life, cost, home dialysis