Why Peritoneal Dialysis?


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Why PD?

Peritoneal Dialysis, or "PD," is a modality of treatment available to many stage 4 & 5 ESRD patients. It offers greater convenience, more freedom, and lower costs to both patient and care giver than hemodialysis, yet it is under-used as a treatment option. Compiled below are a list of links to resources we feel will help patients and physicians decide whether PD is right for them.

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PD puts patients first

Peritoneal dialysis patient and doctorPeritoneal Dialysis offers freedom and flexibility to patients by empowering them to control aspects of their own dialysis experiences. PD is portable– it can be done on the road, or from the comfort of home, and PD patients often only need to visit their physician once per month.

PD doesn't require as many food and fluid restrictions as hemodialysis, and doesn't involve needles or cycling any blood out of the body during treatment.

PD can increase the efficiency of your practice

According to a 2009 study published in The American Journal of Managed Care[1], the median cost of a PD patient's care over 12 months was $43,510 less than for an HD patient.

"Among patients with ESRD, PD patients are less likely than HD patients to be hospitalized in the year following initiation of dialysis. They also have significantly lower total healthcare costs."[1]

Since patients on PD require in-office visits far less than those on HD, physician practices can more easily treat more patients.

  1. Cost Comparison of Peritoneal Dialysis Versus Hemodialysis in End-Stage Renal Disease

PD could be better for patients as a first modality

Peritonel Dialysis Iternational coverAs noted by Peritoneal Dialysis International[1], renal replacement therapy (RRT) may be viewed as a flow chart that includes all modalities.

"Selection of the first modality should thus keep in mind how treatment using that modality will affect the outcome of the eventual next modality. At a given moment, the advantages of the current modality should be maximally exploited, and the disadvantages reduced to a minimum."[2]

This article also goes on to suggest that preservation of residual renal function, better outcomes after transplantation, and reduced risk of infection are benefits of using PD as a first line of treatment.

An article[3] published in Nephrology Dialysis Transplantation[4] suggests better survival rates for PD as a first modality:

"Two recent large studies[5,6] have suggested a survival advantage for PD during the first 2 years of dialysis."

  1. Peritoneal Dialysis International
  2. The Role Of Peritoneal Dialysis As First Modality In An Integrative Approach To Patients With End-Stage Renal Disease (PDF)
  3. Initial survival advantage of peritoneal dialysis relative to haemodialysis
  4. Nephrology Dialysis Transplantation
  5. Mortality risks of peritoneal dialysis and hemodialysis.
  6. Hemodialysis versus peritoneal dialysis: a comparison of adjusted mortality rates.

Additional articles about Peritoneal Dialysis among ESRD modalities of treatment:

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*Links to third-party sites are provided as-is.
Medcomp® does not control the content of 3rd-party sites and therefore disclaims all liability for its use.

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