On haemodialysis, my life was not my own — handing control to nursing staff for 4 hours, 3 days a week, surrounded by noisy machines and unhappy patients, returning home after 11 hours, too exhausted to eat and falling into bed. However, peritoneal dialysis has given me back my life. I am in control of me and am treated like a human being, not just a patient. There are minor drawbacks, such as storage for the fluids and being unable to have a bath, but it is a small price to pay.
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References
1.
CoreshJ., AstorB.C., GreeneT., EknoyanG., LeveyA.S.Prevalence of chronic kidney disease and decreased kidney function in the adult US population: Third National Health and Nutrition Examination Survey.Am J Kidney Dis2003; 41: 1–12.
CarterJ.L., O'RiordanS.E., EaglestoneG.L., DelaneyM.P., LambE.J.Chronic kidney disease prevalence in a UK residential care home population.Nephrol Dial Transplant2008; 23: 1257–64.
4.
KurellaM., CovinskyK.E., CollinsA.J., ChertowG.M.Octogenarians and nonagenarians starting dialysis in the United States.Ann Intern Med2007; 146: 177–83.
Canadian Organ Replacement Register.Treatment of End-Stage Organ Failure in Canada: 2002 and 2003.Ottawa, Canada: Canadian Institute for Health Information; 2005.
9.
VergerC., RyckelynckJ.P., DumanM., VeniezG., LobbedezT., BoulangerE.French Peritoneal Dialysis Registry (RDPLF): Outline and main results.Kidney Int Suppl2006; 103: S12–20.
10.
LiP.K.T., SzetoC.C.Success of the peritoneal dialysis programme in Hong Kong.Nephrol Dial Transplant2008; 23: 1475–8.
11.
OliverM.J., QuinnR.R., RichardsonE.P., KissA.J., LampingD.L., MannsB.J.Home care assistance and the utilization of peritoneal dialysis.Kidney Int2007; 71: 673–8.
12.
LampingD.L., ConstantinoviciN., RoderickP., NormandC., HendersonL., HarrisS.Clinical outcomes, quality of life, and costs in the North Thames Dialysis Study of elderly people on dialysis: a prospective cohort study.Lancet2000; 356: 1543–50.
13.
HarrisS.A.C., LampingD.L., BrownE.A., ConstantinoviciN; for the NTDS Group. Dialysis modality and elderly people: effect on clinical outcomes and quality of life.Perit Dial Int2002; 22: 463–70.
14.
CouchoudC., MoranneO., FrimatL., LabeeuwM., AllotV., StengelB.Associations between comorbidities, treatment choice and outcome in the elderly with end-stage renal disease.Nephrol Dial Transplant2007; 22: 3246–54.
15.
FrimatL., DurandP.Y., Loos-AyavC., VillarE., PanescuV., BrianconS.Impact of first dialysis modality on outcome of patients contraindicated for kidney transplant.Perit Dial Int2006; 26: 231–9.
16.
LiP.K.T., LawM.C., ChowK.M., LeungC.B., KwanB.C.H., ChungK.Y.Good patient and technique survival in elderly patients on continuous ambulatory peritoneal dialysis.Per it Dial Int2007; 27(Suppl 2): S196–201.
17.
De VecchiA.F., MaccarioM., BragaM., ScalamognaA., CastelnovoC., PonticelliC.Peritoneal dialysis in nondiabetic patients older than 70 years: comparison with patients aged 40 to 60 years.Am J Kidney Dis1998; 31: 479–90.
18.
KadambiP., TroidleL., Gorban-BrennanN., KligerA.S., FinkelsteinF.O.APD in the elderly.Semin Dial2002; 15: 430–3.
19.
JagerK.J., KorevaarJ.C., DekkerF.W., KredietR.T., BoeschotenE.W. and NECOSAD Study Group. The effect of contraindications and patient preference on dialysis modality selection is ESRD patients in The Netherlands.Am J Kidney Dis2004; 43: 891–9.
PovlsenJ.V., IvarsenP.Assisted automated peritoneal dialysis (AAPD) for the functionally dependent and elderly patient.Perit Dial Int2005; 25(Suppl 3): S60–3.
22.
LameireN., van BiesenW.The pattern of referral of patients with end-stage renal disease to the nephrologist— a European survey.Nephrol Dial Transplant1999; 14: 16–23.
23.
MehrotraR., MarshD., VoneshE., PetersV., NissensonA.Patient education and access of ESRD patients to renal replacement therapies beyond in-center hemodialysis.Kidney Int2005; 68: 378–90.
24.
RoderickP., JonesC., DreyN., BlakeleyS., WebsterP., GoddardJ.Late referral for end-stage renal disease: a region-wide survey in the south west of England.Nephrol Dial Transplant2002; 17: 1252–9.
25.
PovlsenJ.V., IvarsenP.How to start the late referred ESRD patient urgently on chronic APD.Nephrol Dial Transplant2006; 21(Suppl 2): ii56–9.