Evaluating the benefits of home-based peritoneal dialysis

François, Karlien; Bargman, Joanne M.

doi:10.2147/ijnrd.s50527

Cited by 38 publications

(19 citation statements)

References 85 publications

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“…There are currently two dialytic techniques available: hemodialysis and peritoneal dialysis [20]. The vast majority of studies have been undertaken in people who use hemodialysis, despite different authors reporting significant benefits in the quality of life for patients receiving peritoneal dialysis rather than hemodialysis [21][22][23][24][25]. The positive effects of home-based peritoneal dialysis include the preservation of residual renal function, permitting a less restrictive diet and conserving vascular accesses [26][27][28][29], and greater compatibility with leisure and daily life activities [23].…”

Section: Introductionmentioning

confidence: 99%

Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research

Sitjar-Suñer

Soler

Masià-Plana

et al. 2020

IJERPH

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Although some study has been made into quality of life in patients with peritoneal dialysis, little is known about how this relates to social support. The aim of this paper was to study health-related quality of life, perceived social support and the experiences of people receiving peritoneal dialysis. A cross-sectional study was conducted using quantitative and qualitative methodologies, between June 2015 and March 2017. Fifty-five patients receiving peritoneal dialysis were studied. The most affected quality of life dimensions were the effects of the disease, the burden of the disease, occupational status, sleep and satisfaction. The physical component of the quality of life questionnaire was negatively associated with the number of hospital admissions over the previous year (p = 0.027) and positively associated with social support (p = 0.002). With regard to the mental component, age (p = 0.010) and social support (p = 0.041) were associated with a better quality of life. Peritoneal dialysis, while not a panacea, is experienced as being less aggressive than hemodialysis, allowing greater autonomy and improved perceived health. Greater symptomology corresponded to worse quality of life and to perceiving the disease as a burden. Patients had to adapt to the new situation despite their expectations. Social support was observed to be a key factor in perceived quality of life.

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Section: Introductionmentioning

confidence: 99%

Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research

Sitjar-Suñer

Soler

Masià-Plana

et al. 2020

IJERPH

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“…It may also be possible to provide PD in more remote locations than HD, although the cost of PD is greater than that of HD in most African countries [ 9 , 12 ]. Peritoneal-dialysis associated peritonitis can cause significant morbidity and has an impact on patient mortality; some episodes may require temporary or permanent transfer to HD, depending on the duration and severity of the peritonitis [ 13 ].…”

Section: Discussion and Conclusionmentioning

confidence: 99%

Joubert’s syndrome and related disorders and home-based peritoneal dialysis in East Africa: a case report

Musiime¹,

Kinuthia²,

Oyatsi³

et al. 2017

BMC Res Notes

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BackgroundJoubert’s syndrome is a rare condition affecting an estimated 1:80,000–1:100,000 individuals. There is underdevelopment of the cerebellar vermis resulting in a characteristic molar tooth sign on cross sectional axial magnetic resonance imaging. It can occur in association with multi-organ involvement; in such cases it is classified as Joubert’s syndrome and related disorders. To date, there are no cases of Joubert’s syndrome and related disorders from sub-Saharan Africa described in the literature.Case presentationAn 8 year old black Kenyan female child was diagnosed in Joubert’s syndrome in her first year of life. She was noted to have dysmorphic facies and hypotonia in the neonatal period and cranial MRI showed dysplasia of the cerebellar vermis and typical molar tooth malformation. She was subsequently lost to follow up for several years and later presented with anaemia. Further investigation revealed bilateral multicystic kidneys and significant renal impairment consistent with a diagnosis of end stage renal failure and polycystic kidney disease. She underwent home peritoneal dialysis for 7 months.ConclusionsJoubert’s syndrome and related disorders is a rare condition. This case report demonstrates that home peritoneal dialysis is feasible in a low resource setting. Although it is scarcely provided in African countries, it is an effective renal replacement strategy for patients with end stage renal disease.

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“…However, similarly to conservative therapy, PD may be managed through home care and occasionally scheduled ambulatory visits, making it an effective choice for patients requiring palliative or hospice care. 31 In 2008 ERA-EDTA pointed out some criteria that may be used to recommend PD. 32 In particular, clinical conditions that may be usually identified in frail patients, such as aging complications, severe Cardiac Disease or Peripheral Vascular Disease, have been recognized as potential indicators for PD prescription.…”

Section: Peritoneal Dialysismentioning

confidence: 99%