Pros and Cons of Peritoneal Dialysis
Pros |
Lower cost than hemodialysis (HD) |
Patients more satisfied with overall care compared with HD |
Steady-state treatment. Better tolerated hemodynamically |
Flexible schedules |
Needleless |
Preservation of vascular sites for future hemodialysis |
Lower risk of blood-borne infections12,13 |
Alleviates anxiety from needle sticks |
Better preservation of residual renal function |
Fewer diet and fluid restrictions |
Cons |
Continuous therapy. No days off. Leads to patient and family burnout |
Body image concerns because of presence of catheter and fluid in the abdomen |
High technique failure rate compared with HD |
Space needed for monthly supplies of dialysis equipment/solutions |
Inability to lift >25 lbs. |
Non-compliance with dialysis can lead to complications such as infections, uremia, and technique failure |