Many older patients do not cope well with hemodialysis, yet the proportion of older patients on peritoneal dialysis (PD) is considerably lower than for younger patients. This is despite the fact that clinical outcome studies show that older patients cope as well as, if not better than, younger patients on PD. Furthermore, the North Thames Dialysis Study, a prospective study of patients ≥70 years old, has shown that survival, hospitalization, and quality of life were identical for patients on hemodialysis and patients on PD.
The Renal Association.UK Renal Registry Report 2003.Bristol: The Renal Association.
2.
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.
3.
HarrisS.A.C., LampingD.L., BrownE.A., ConstantinoviciN. for the North Thames Dialysis Study Group. Dialysis modality and elderly people: Effect on clinical outcomes and quality of life.Perit Dial Int2002; 22: 463–70.
4.
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.
5.
KadambiP., TroidleL., Gorban-BrennanN., KligerA.S., FinkelsteinF.O.APD in the elderly.Semin Dial2002; 15: 430–3.