Peritoneal Dialysis for the Elderly

  • Edwina A. BrownEmail author


The default dialysis choice for the elderly is usually haemodialysis in most European countries, Canada and the USA with relatively few patients starting on peritoneal dialysis (PD) compared to younger and fitter patients. This is actually quite surprising as a home-based treatment avoids the need for transport and peritoneal dialysis (PD) does not have the haemodynamic swings associated with haemodialysis (HD). There is no doubt that there are often challenges to enabling an elderly patient to have PD, but the development of assisted PD can surmount many of these. Indeed, in France where assisted PD has been available for many years, the PD population is predominantly elderly [1]. As discussed in Chapter (Choosing Dialysis Modality), the BOLDE study has shown that PD patients have less illness and treatment intrusion than patients on HD [2], though the patients in the study were mainly fitter older patients and none were on assisted PD.


Peritoneal dialysis Elderly Cognitive function Assisted peritoneal dialysis End of life 


  1. 1.
  2. 2.
    Brown EA, Johansson L, Farrington K, Gallagher H, Sensky T, Gordon F, da Silva-Gane M, Beckett N, Hickson M (2010) Broadening Options for Long-term Dialysis for the Elderly (BOLDE): differences in quality of life on peritoneal dialysis compared to haemodialysis for older patients. Nephrol Dial Transplant 25:3755–3763CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Oliver MJ, Quinn RR, Richardson EP, Kiss AJ, Lamping DL, Manns BJ (2007) Home care assistance and the utilization of peritoneal dialysis. Kidney Int 71:673–678CrossRefPubMedGoogle Scholar
  4. 4.
    Oliver MJ, Garg AX, Blake PG, Johnson JF, Verrelli M, Zacharias JM, Pandeya S, Quinn RR (2010) Impact of contraindications, barriers to self-care and support on incident peritoneal dialysis utilization. Nephrol Dial Transplant 25:2737–2744CrossRefPubMedGoogle Scholar
  5. 5.
    Couchoud C, Moranne O, Frimat L, Labeeuw M, Allot V, Stengel B (2007) Associations between comorbidities, treatment choice and outcome in the elderly with end-stage renal disease. Nephrol Dial Transplant 22:3246–3254CrossRefPubMedGoogle Scholar
  6. 6.
    Verger C, Duman M, Durand PY, Veniez G, Fabre E, Ryckelynck JP (2007) Influence of autonomy and type of home assistance on the prevention of peritonitis in assisted automated peritoneal dialysis patients. An analysis of data from the French Language Peritoneal Dialysis Registry. Nephrol Dial Transplant 22:1218–1222CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Imperial Renal and Transplant CentreHammersmith HospitalLondonUK

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