The treatment options for kidney failure, which includes people with end-stage renal disease (ESRD), are —
- Kidney transplant: an optimal solution; however, the lack of viable donors makes it an unrealistic option for most people with ESRD.
- Hemodialysis can only be performed in a clinic or hospital. It requires the person to travel to the center three to four times a week for approximately three to five hours sessions, during which time, the person is immobile.
- Peritoneal dialysis (PD) uses the peritoneum (membrane lining the abdomen) to filter blood inside the body. PD eliminates the need to travel to dialysis centers and provides flexibility to maintain everyday work and activities. At-home PD offers numerous benefits:
- Early survival advantage over hemodialysis for up to five years 1
- Improved residual kidney function preserved 2
- Reduced blood pressure 3
- Needle-free treatments preserve vascular access
- Fewer negative side effects such as nausea, vomiting, cramping, weight gain
- Better patient experience and outlook regarding treatment
- Improved quality of life due to infrequent trips to the dialysis center
For the health care system, PD presents a more affordable treatment option.
Current PD solutions face known challenges that limit them from becoming the gold standard for patient treatment:
- cumbersome setup and complicated treatment regimen
- person’s inability to perform the procedure
- may increase the risk of peritonitis