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PD in the Older Person

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Nolph and Gokal's Textbook of Peritoneal Dialysis

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Abstract

Changes in life expectancy across the globe has led to a marked demographic shift which, combined with an increasing burden of comorbidity, has led to a markedly older dialysis population. However, dialysis is only one component of the overall care of the older person with renal disease. Recognizing and assessing frailty, a process distinct from aging, is important before commencing and while on dialysis. Having assessed frailty, shared decision-making with the patient and family is no less important in the older person than any other patient. Shared decision-making should cover realistic care goals including quality of life, minimizing treatment burden and symptom control. While underutilized, there are many features of peritoneal dialysis which make it a suitable treatment for the older person. Individualization of the prescription should focus on preserving residual kidney function, use of low-intensity incremental regimes where possible, and assisted peritoneal dialysis where needed.

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    Richard W. Corbett & Edwina A. Brown

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    Ramesh Khanna

  2. Dept. Medicine Div. Nephrology, University of Amsterdam Academic Medical Center, Amsterdam, The Netherlands

    Raymond T. Krediet

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Corbett, R.W., Brown, E.A. (2022). PD in the Older Person . In: Khanna, R., Krediet, R.T. (eds) Nolph and Gokal's Textbook of Peritoneal Dialysis. Springer, Cham. https://doi.org/10.1007/978-3-319-90760-4_43-1

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