Comparative evolution of hemodialysis vs. peritoneal dialysis in elderly.Rev Med Chir Soc Med Nat Iasi. 2012 Jan-Mar; 116(1):22-9.RM
The prevalence of treated patients with end-stage renal disease (ESRD) has considerably increased in the last decade mainly in the elderly age groups. The type of optimal mode of dialysis therapy in elderly is difficult to establish and most studies comparing hemodialysis and peritoneal dialysis in elderly failed to demonstrate the superiority of one therapy versus the other. The present article uses Charlson Co morbidity Index to compare evolution of an elderly population in HD versus PD.
MATERIAL AND METHODS
Nondiabetic patients (> 65 years) who initiated dialysis therapy for ESRD during January 2006-December 2007.
In HD group, the median CCI calculated 6 month before initiating dialysis therapy was 5.87, with limits between 3 and 11. At the time of initiating dialysis, the median CCI was 6.55 (limits 3-11). In peritoneal dialysis group, CCI evaluated 6 months before initiating dialysis had a median value of 7.38, with limits between 3 and 11. At the time of initiating dialysis procedure, the median CCI was 7.72.
This study demonstrates that PD is, in the majority of situations, a better option for dialysis in elderly.