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Assistierte Peritonealdialyse: Nierenersatztherapie in häuslicher Umgebung für den älteren Patienten

Assisted peritoneal dialysis: Home-based renal replacement therapy for the elderly patient

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Zusammenfassung

Die Anzahl älterer Patienten an der Nierenersatztherapie ist kontinuierlich im Steigen begriffen. Komorbiditäten und Gebrechlichkeit dieser Patientengruppe führen zu geringer Toleranz gegenüber dem am häufigsten angewandten Verfahren, der Hämodialyse im Zentrum. Die Peritonealdialyse als Heimdialyseverfahren erfordert, selbstständig durchgeführt, jedoch ein Mindestmaß an körperlichen und kognitiven Fähigkeiten und bleibt aus diesem Grund vielen älteren Patienten vorenthalten. Professionelle Assistenz bei der Durchführung des Verfahrens ermöglicht dieser Patientengruppe eine Nierenersatztherapie von hoher Qualität in häuslicher Umgebung unter besonderer Berücksichtigung von altersspezifischen Bedürfnissen und Lebensqualität.

Die Ergebnisse des assistierten Peritonealdialyseprogrammes im Landesklinikum St. Pölten zeigen eine qualitativ hochwertige Nierenersatztherapie mit geringen Komplikations- und Hospitalisationsraten ohne dass Mehrkosten gegenüber der konventionellen Hämodialysebehandlung entstehen.

Summary

The number of elderly patients with end stage renal disease is constantly increasing. Conventional hämodiaylsis as the mainstay of renal replacement therapy is often poorly tolerated by frail eldery patients with multiple comorbidities. Although many of these patients would prefer a home based dialysis treatment, the number of elderly patients using peritoneal dialysis (PD) is still low. Impaired physical and cognitive function often generates insurmountable barriers for self care peritoneal dialysis.

Assisted peritoneal dialysis can overcome many of these barriers and give elderly patients the ability of a renal replacement therapy in their own homes respecting their needs.

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  1. Karl Landsteiner Institut für Nephrologie, Landesklinikum St Pölten, Propst-Führer-Straße 4, 3100, St Pölten, Austria

    Martin Wiesholzer MD

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  1. Martin Wiesholzer MD
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Correspondence to Martin Wiesholzer MD.

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Wiesholzer, M. Assistierte Peritonealdialyse: Nierenersatztherapie in häuslicher Umgebung für den älteren Patienten. Wien Med Wochenschr 163, 280–287 (2013). https://doi.org/10.1007/s10354-013-0198-0

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