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Evaluating the benefits of home-based peritoneal dialysis

Authors François K, Bargman J

Received 4 October 2014

Accepted for publication 28 October 2014

Published 4 December 2014 Volume 2014:7 Pages 447—455


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Pravin Singhal

Karlien François, Joanne M Bargman

Division of Nephrology, University Health Network Toronto General Hospital, University of Toronto, Toronto, ON, Canada

Abstract: Peritoneal dialysis (PD) is an effective renal replacement strategy for patients suffering from end-stage renal disease. PD offers patient survival comparable to or better than in-center hemodialysis while preserving residual kidney function, empowering patient autonomy, and reducing financial burden to payors. The majority of patients suffering from kidney failure are eligible for PD. In patients with cardiorenal syndrome and uncontrolled fluid status, PD is of particular benefit, decreasing hospitalization rates and duration. This review discusses the benefits of chronic PD, performed by the patient or a caregiver at home. Recognition of the benefits of PD is a cornerstone in stimulating the use of this treatment strategy.

Keywords: peritoneal dialysis, survival, quality of life, cost, home dialysis

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