YAŞLI SON DÖNEM BÖBREK HASTALARINDA ASİSTE PERİTON DİYALİZİNİN KARŞILAŞTIRILMASI

Abstract

Aim: There has been a steady increase in the number of elderly patients with end-stage renal disease (ESRD) receiving renal replacement therapy (RRT). We aimed to compare the efficiency and complications between individual and family member-assisted PD in a patient group with geriatric ESRD. Method: This retrospective study included 50 patients > 65 years of age who received CAPD treatment between 2017-2019 in the peritoneal dialysis unit. Before dialysis modality selection, patients' functional status was evaluated with the 6-item activities of daily living (ADL) and 8-item instrumental daily living activities (IADL). Their three years’ follow-up results were evaluated in terms of dialysis efficiency parameters and dialysis complications. Results: There was no statistical difference between the two groups regarding their age, gender, and biochemical data. There was also no difference between edema, exit-site infection, and leakage; however, a significant difference was observed between the total number of peritonitis and the time until the first peritonitis attack. The time until the first peritonitis attack was shorter in the APD group than in the other group. Besides, the number of total peritonitis attacks was higher in the assisted PD group. Conclusion: The elderly ESRD population is increasing, and PD use is declining worldwide. However, if APD is not done well, it may not be an effective strategy to reverse this decline and provide safe and successful treatment to many frail, elderly patients.