Comparison of the rehabilitation status of continuous ambulatory peritoneal dialysis and in‐centre haemodialysis in Chinese patients

Abstract

In Hong Kong, dialysis treatment has become more accessible in recent years. Due to a shortage of kidney donors patients are required to stay on dialysis for longer periods.The rehabilitation status of 181 end-stage renal failure (ESRF) patients on dialysis, 34 on in-centre haemodialysis (ICHD) and 147 on continuous ambulatory peritoneal dialysis (CAPD), at the Prince of Wales Hospital was studied. There was no statistically significant difference in physical functioning due to treatment type; however, CAPD patients were shown to be more socially active and had a better family life than ICHD patients (Pc0.01). There were no statistically significant correlations between physical functioning, social life or family life and the duration of dialysis in both ICHD and CAPD patients. In both groups of patients 52.9% of ICHD and 52.4% of CAPD patients had decreased employment status. All the patients were assessed by doctors-in-charge on their physical fitness for employment, 85.7% (n=6) of the unemployed ICHD patients and 71% (n=44) of the unemployed CAPD patients were considered to be physically fit to work. Due to the ageing of the general population and greater availability of dialysis treatment and higher survival rate of the chronically ill have led to an increase in the number of elderly patients on dialysis (aged 60 years and over). The proportion of elderly dialysis patients in our renal centre increased from 7-23% in the past 5 years. Continuous ambulatory peritoneal dialysis patients aged less than 60 years were found to be significantly more physically active and socially active than CAPD patients aged over 60 years (Pc0.01). In the aspect of a better family life for these patients, no statistically significant difference was found between the two groups. Rehabilitation of ESRF patients can be achieved by renal replacement therapy. It is concluded that CAPD patients have better adaptation in social life and family life than ICHD patients.

Increasing home‐based dialysis therapies to tackle dialysis burden around the world: A position statement on dialysis economics from the 2nd Congress of the International Society for Hemodialysis

“…A recent Canadian study of 247 nocturnal HD patients from the cohort of 1994 through 2006 showed an unadjusted 1‐year and 5‐year adverse event‐free survival of 95.2% and 80.1%, respectively 16 . Quality of life of PD and HHD has been shown to be consistently better than in‐center HD 19,20 . For the patients, the benefits include the flexibility of the treatment schedule and prescription, better dialysis adequacy, saving of travel time, and escape from inevitable frequent waiting time.…”

“…16 Quality of life of PD and HHD has been shown to be consistently better than in-center HD. 19,20 For the patients, the benefits include the flexibility of the treatment schedule and prescription, better dialysis adequacy, saving of travel time, and escape from inevitable frequent waiting time. In many parts of the world, nursing and nephrologist shortage is an issue.…”

Increasing home based dialysis therapies to tackle dialysis burden around the world: A position statement on dialysis economics from the 2nd Congress of the International Society for Hemodialysis

“…A recent Canadian study of 247 Nocturnal HD patients from the cohort of 1994 through 2006 showed an unadjusted 1‐ and 5‐year adverse event‐free survival of 95.2 and 80.1%, respectively 16 . Quality of life of PD and Home HD has been shown to be consistently better than In‐Centre HD 19,20 . For the patients, the benefits include the flexibility of the treatment schedule and prescription, better dialysis adequacy, saving of travel time and escape from inevitable frequent waiting time.…”

“…16 Quality of life of PD and Home HD has been shown to be consistently better than In-Centre HD. 19,20 For the patients, the benefits include the flexibility of the treatment schedule and prescription, better dialysis adequacy, saving of travel time and escape from inevitable frequent waiting time. In many parts of the world, nursing and nephrologist shortage is an issue.…”

How to Have a Successful Peritoneal Dialysis Program

“…Merkus et al (25) showed that hemodialysis patients reported lower levels of quality of life with regard to physical functioning, emotional role functioning, mental health, and pain than did PD patients. Our group also compared the rehabilitation status of patients on in-center hemodialysis (ICHD) and on CAPD (26). As compared with ICHD patients, our CAPD patients were shown to be more socially active and to have a better family life.…”