Is peritoneal dialysis suitable technique CKD patients over 65 years? A prospective multicenter study

Abstract

Background: Chronic kidney disease (CKD) is increasing in patients older than 65 years and is related to morbidity, frailty, and dependence. Peritoneal dialysis (PD) has classically been associated with young patients with an active life.Hypothesis: PD should be offered to patients over 65 years. We search for any unfavorable results that may advice not to recommend PD therapy for this group.Objective: To describe PD treatment and outcomes in patients > 65 years, to compare their results with patients 65 years, to compare their results with patients 65 years. The main reason was caregiver or patient fatigue (20.2%), and not technique failure (7.3%).Multivariate Cox regression analysis showed a relation (HR [95%CI]) between mortality and age > 65 years 2.4 [1.9-3.0]; DM 1.6 [1.3-2.1]; CV events 2.1 [1.7-2.7]. Multivariate Cox regression analysis identify a relation between technique failure and age > 65 years 1.5 [1.3-1.9]; DM 1.6 [1.3-1.9] and previous transplant 1.5 [1.2-2.0].Conclusion: Patients older than 65 years fulfilled PD adequacy criteria during the follow up. We believe PD is a valid option for patients older 65 years. It is necessary to try to prevent infections and patient/caregiver fatigue, to avoid HD transfer for reasons not related to technique failure. (C) 2021 Sociedad Espanola de Nefrologia. Published by Elsevier Espana, S.L.U.