Peritoneal Dialysis

Chronic Peritoneal Dialysis in Children with Special Needs or Social Disadvantage or Both: Contraindications are not Always Contraindications

“…Despite the absolute and relative contraindications to the use of CPD in some children (6), our study supports the decision to offer that modality to children with special needs or social disadvantage when parents who can provide dedicated and meticulous care are identified. Indeed, in our group, successful PD treatment has been achieved for these patients with the help of their dedicated families.…”

“…But despite those advantages, the application of CPD is sometimes very difficult or even impossible. Inappropriate social conditions, mental retardation, previous abdominal surgery, ventriculoperitoneal shunt, and ostomies, which all make CPD difficult, are some of the adverse factors (6). Published experiences of physically or socially challenged children on CPD are lacking.…”