Chapter 39
Choice of Hemodialysis or Peritoneal Dialysis for Kidney Replacement Therapy
Marlies Noordzij,
Raymond T. Krediet,
Marlies Noordzij
Department of Medical Informatics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
Search for more papers by this authorRaymond T. Krediet
Division of Nephrology, Department of Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
Search for more papers by this authorMarlies Noordzij,
Raymond T. Krediet,
Marlies Noordzij
Department of Medical Informatics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
Search for more papers by this authorRaymond T. Krediet
Division of Nephrology, Department of Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
Search for more papers by this authorBook Editor(s):Jonathan C. Craig MBChB, DipCH, MMed(Clin Epi), PhD, FAHMS,
Donald A. Molony MD,
Giovanni F.M. Strippoli MD, PhD, MPH, MM (Epi),
Jonathan C. Craig MBChB, DipCH, MMed(Clin Epi), PhD, FAHMS
Matthew Flinders Distinguished Professor Vice President and Executive Dean
College of Medicine and Public Health, Flinders University, Adelaide, Australia
Search for more papers by this authorDonald A. Molony MD
Professor of Medicine Distinguished Teaching Professor of the University of Texas System
Division of Renal Diseases and Hypertension AND Center for Clinical Research and Evidence-based Medicine, McGovern Medical School University of Texas, Houston, TX, USA
Search for more papers by this authorGiovanni F.M. Strippoli MD, PhD, MPH, MM (Epi)
Professor of Nephrology Adjunct Professor of Epidemiology
Department of Emergency and Organ Transplantation – University of Bari, Bari, Italy
School of Public Health, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorFirst published: 18 November 2022
Summary
The choice of dialysis modality at the initiation of kidney replacement therapy has also been studied and discussed extensively in recent decades. There is still no final consensus on whether hemodialysis (HD) or peritoneal dialysis (PD) treatment modality gives the best results. This chapter gives an overview of the current literature on the optimal timing of dialysis initiation and on the best dialysis modality choice. Important outcomes for the evaluation of initial dialysis modality are patient survival, Quality of Life, and values of biochemical parameters. Differences in dialysis modality-specific practice patterns between continents or countries may influence modality-specific patient survival. The chapter presents a comparison of mortality between HD and PD patients: a selection of recent large studies based on renal registry data. Patients should be educated about potential advantages and disadvantages of both treatment modalities before the start of dialysis, so that they can make a well-informed choice together with their physician.
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