The majority of dialysis patients initiate dialysis using hemodialysis, rather than peritoneal dialysis (PD), although they may be candidates for either modality.
Multiple factors account for this selection, including pre-dialysis education, physician familiarity with hemodialysis versus PD, and patient-related factors. This paper will discuss the various considerations by both providers and patients in the selection of PD as a modality.
United States Renal Data System. 2016 USRDS annual data report: Epidemiology of kidney disease in the United States. 2016.Available from https://www.usrds.org/adr.aspx. Accessed Jan 15, 2017.
2.
KutnerNGZhangRHuangYWasseHPatient awareness and initiation of peritoneal dialysis.Arch Intern Med2011;171 (2):119-124
3.
MehrotraRMarshDVoneshEPetersVNissensonAPatient education and access of ESRD patients to renal replacement therapies beyond in-center hemodialysis.Kidney Int2005;68 (1):378-390
4.
DevoeDJWongBJamesMTet al.Patient education and peritoneal dialysis modality selection: a systematic review and meta-analysis.Am J Kidney Dis2016;68 (3):422-433
5.
DahlerusCQuinnMMessersmithEet al.Patient perspectives on the choice of dialysis modality: results from the empowering patients on choices for renal replacement therapy (EPOCH-RRT) Study.Am J Kidney Dis2016;68 (6):901-910
6.
WongBVenturatoLOliverMJQuinnRRRavaniPHolroyd-LeducJSelection of peritoneal dialysis among older eligible patients with end-stage renal disease.Nephrol Dial Transplant2016 Oct 25. pii: gfw367. [Epub ahead of print]
7.
WangVMaciejewskiMLCoffmanCJet al.Impacts of geographic distance on peritoneal dialysis utilization: refining models of treatment selection.Health Serv Res2016 Apr 7. doi: 10.1111/1475-6773.12489. [Epub ahead of print]