Document Detail

How to address barriers to peritoneal dialysis in the elderly.
MedLine Citation:
PMID:  21364214     Owner:  NLM     Status:  MEDLINE    
Older patients on dialysis have unique needs and characteristics and their outcomes vary from that of their younger counterparts. Comparatively fewer will start or be maintained on peritoneal dialysis (PD) compared to younger patients, despite the fact that hemodialysis is often poorly tolerated. Barriers to PD for older patients include poor vision, frailty, cognitive dysfunction, accommodation issues, and a bias from renal teams that older patients cannot do PD. The development of assisted PD can overcome many of these barriers. The ability of older patients to use PD as their dialysis modality should not be determined by whether they live in an area where the nephrologist is a PD enthusiast. All patients should be given nonbiased information so they can choose the dialysis modality that gives them the best quality of life and suits their and their family's lifestyle.
Edwina A Brown
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis     Volume:  31 Suppl 2     ISSN:  1718-4304     ISO Abbreviation:  Perit Dial Int     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-02     Completed Date:  2011-12-29     Revised Date:  2012-08-08    
Medline Journal Info:
Nlm Unique ID:  8904033     Medline TA:  Perit Dial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  S83-5     Citation Subset:  IM    
Imperial College Kidney and Transplant Institute, Hammersmith Hospital, Du Cane Road, London, United Kingdom.
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MeSH Terms
Access to Information
Age Factors
Aged, 80 and over
Attitude of Health Personnel
Choice Behavior
Cognition Disorders / complications
Consumer Health Information
Frail Elderly
Health Services Accessibility*
Health Services for the Aged*
Hearing Disorders / complications
Home Care Services / economics
Life Style
Patient Education as Topic
Patient Participation
Peritoneal Dialysis* / economics,  nursing,  utilization
Quality of Life
Vision Disorders / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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