BACKGROUND: The number of elderly dialysis patients in Japan is dramatically increasing. Receiving therapy with better satisfaction through home care is one of the important factors in their daily lives. Thus, the quality of life of elderly patients on hemodialysis (HD) or peritoneal dialysis (PD) was evaluated. METHODS: Clinical information of patients aged ≥80 years who started dialysis at our hospital between January 2013 and December 2015 was retrospectively collected. The mortality rate, length of hospitalization, and place of death were identified to evaluate patient quality of life. RESULTS: In total, 56 patients (14 PD and 42 HD) were enrolled. The mean age of study subjects was 85.2 ± 4.0 years. The proportion of PD patients who lived with their family or have professional caregivers who could assist them in their daily life was higher than that of HD patients (100 vs. 76.2%, respectively; p = 0.044). Mortality rate was higher in PD patients than in HD patients (p = 0.003), but long-term hospitalization of >180 days was observed only in HD patients (PD vs. HD: 0.0 vs. 16.7%; p = 0.102). In patients with Barthel index scores <100, the long-term hospitalization difference was significant (PD vs. HD: 0.0 vs. 30.4%; p = 0.040). Of note, 6 of 7 deceased PD patients and 1 of 10 deceased HD patients died at home (p = 0.002). CONCLUSION: PD is a desirable home care therapy for elderly patients, but the burden on caregivers should be considered.
BACKGROUND: The number of elderly dialysis patients in Japan is dramatically increasing. Receiving therapy with better satisfaction through home care is one of the important factors in their daily lives. Thus, the quality of life of elderly patients on hemodialysis (HD) or peritoneal dialysis (PD) was evaluated. METHODS: Clinical information of patients aged ≥80 years who started dialysis at our hospital between January 2013 and December 2015 was retrospectively collected. The mortality rate, length of hospitalization, and place of death were identified to evaluate patient quality of life. RESULTS: In total, 56 patients (14 PD and 42 HD) were enrolled. The mean age of study subjects was 85.2 ± 4.0 years. The proportion of PDpatients who lived with their family or have professional caregivers who could assist them in their daily life was higher than that of HDpatients (100 vs. 76.2%, respectively; p = 0.044). Mortality rate was higher in PDpatients than in HDpatients (p = 0.003), but long-term hospitalization of >180 days was observed only in HDpatients (PD vs. HD: 0.0 vs. 16.7%; p = 0.102). In patients with Barthel index scores <100, the long-term hospitalization difference was significant (PD vs. HD: 0.0 vs. 30.4%; p = 0.040). Of note, 6 of 7 deceased PDpatients and 1 of 10 deceased HDpatients died at home (p = 0.002). CONCLUSION:PD is a desirable home care therapy for elderly patients, but the burden on caregivers should be considered.
Entities:
Keywords:
Elderly patient; Peritoneal dialysis; Quality of life
Authors: András Tislér; Katalin Akócsi; Béla Borbás; László Fazakas; Sándor Ferenczi; Sándor Görögh; Imre Kulcsár; Lajos Nagy; József Sámik; János Szegedi; Eszter Tóth; Gyula Wágner; István Kiss Journal: Nephrol Dial Transplant Date: 2003-12 Impact factor: 5.992
Authors: Celine Foote; Toshiharu Ninomiya; Martin Gallagher; Vlado Perkovic; Alan Cass; Stephen P McDonald; Meg Jardine Journal: Nephrol Dial Transplant Date: 2012-05-07 Impact factor: 5.992