Peritoneal Dialysis

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Peritoneal Dialysis

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PD or HD: Which Road Do We Take?

The great American poet, Robert Frost, wrote:
“Two roads diverged in a wood
And I
I took the one less travelled by
And that has made all the difference”

In the world of end-stage renal disease (ESRD), the road less travelled is peritoneal dialysis. But does either road make a difference? While both hemodialysis (HD) and peritoneal dialysis (PD) are widely accepted and utilized methods of renal replacement therapy (RRT), they differ in so many ways that wouldn’t we expect an outcome benefit other than lifestyle? HD is efficient but harshly intermittent (~12 hours/week) while PD is inefficient but gently continuous (168 hours/week in continuous ambulatory…

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Last Updated : Wednesday, August 17, 2022