Comparison of Psychological Adjustment to Continuous Ambulatory Peritoneal Dialysis and Home Hemodialysis

Two groups of home dialysis patients (40 on CAPD and 37 on home hemo dialysis) matched for length of time on dialysis, and for demographic background were studied and compared. The CAPD patients were significantly more satisfied with the support received from household members and from spouses, more satisfied with the relations with spouses, more understood by them and more understanding of their spouses. Sexual satisfaction declined in both groups. However, sexual satisfaction was slightly higher in the CAPD group and these patients experienced slightly less difficulty in adjusting to the decline; none of these differences were statistically significant.

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Comparison of Psychological Adjustment to Continuous Ambulatory Peritoneal Dialysis and Home Hemodialysis

Peritoneal Dialysis International ◽

10.1177/089686088100200207 ◽

1981 ◽

Vol 2 (2) ◽

pp. 76-78 ◽

Cited By ~ 7

Author(s):

Howard J. Burton ◽

Atara Kaplan De-Nour ◽

John A. Conley ◽

George A. Wells ◽

Lokky Wais

Keyword(s):

Peritoneal Dialysis ◽

Psychological Adjustment ◽

Continuous Ambulatory Peritoneal Dialysis ◽

Sexual Satisfaction ◽

Dialysis Patients ◽

Home Hemodialysis ◽

Home Dialysis ◽

Household Members ◽

Demographic Background

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Psychosocial Adjustment of Home Hemodialysis, Continuous Ambulatory Peritoneal Dialysis and Hospital Dialysis Patients and Their Spouses

Nephron ◽

10.1159/000184522 ◽

1987 ◽

Vol 47 (4) ◽

pp. 266-273 ◽

Cited By ~ 15

Author(s):

Varda Soskolne ◽

Atara Kaplan De-Nour

Keyword(s):

Peritoneal Dialysis ◽

Continuous Ambulatory Peritoneal Dialysis ◽

Psychosocial Adjustment ◽

Dialysis Patients ◽

Home Hemodialysis

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HOME DIALYSIS DURING COVID-19 OUTBREAK– IT IS WORTH TO CONSIDER

Wiadomości Lekarskie ◽

10.36740/wlek202010141 ◽

2020 ◽

Vol 73 (10) ◽

pp. 2316-2318

Author(s):

Paweł Żebrowski ◽

Jacek Zawierucha ◽

Wojciech Marcinkowski ◽

Tomasz Prystacki ◽

Inga Chomicka ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Renal Replacement Therapy ◽

Replacement Therapy ◽

Medical Personnel ◽

Medical Facility ◽

Immune Disorders ◽

Dialysis Patients ◽

Home Hemodialysis ◽

Home Dialysis ◽

Number Of Patients

The epidemic with the new SARS-CoV-2 virus poses a serious threat to patients treated with renal replacement therapy. Besides clinical risk factors (such as numerous comorbidities, immune disorders), dialysis patients are additionally exposed to the virus through regular stays for several hours in a dialysis center and ambulance journeys. In such an epidemiological situation, it seems that peritoneal dialysis and home hemodialysis are good alternatives for treatment. Currently available telemedicine and medical technologies allow for effective renal replacement therapy also outside dialysis centers. Thanks to this, it is possible to limit the stay of patients in a medical facility to clinically justified situations. For this reason, increasing the number of patients treated with peritoneal dialysis, which is carried out at home and without contact with medical personnel, seems to be a good solution. Enabling patients to undergo home hemodialysis treatment, nowadays unavailable in Poland and establishing it as a guaranteed benefit in the health care system will enable renal replacement therapy to be adapted to the clinical condition and the need for isolation.

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Home dialysis and Covid-19 in french speaking countries (RDPLF data-base)

Bulletin de la Dialyse à Domicile ◽

10.25796/bdd.v4i3.63003 ◽

2021 ◽

Vol 4 (3) ◽

pp. 227-237

Author(s):

Christian Verger ◽

Emmanuel Fabre ◽

Pierre-Yves Durand ◽

Jacques Chanliau ◽

Isabelle Vernier ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Data Base ◽

Dialysis Patients ◽

Home Hemodialysis ◽

Home Dialysis ◽

Number Of Patients ◽

French Speaking ◽

Surgical Teams ◽

At Home

Aims of the study: to assess the frequency of symptomatic Covid-19 in home dialysis patients and its influence on the number of patients treated at home in dialysis units of centers included in the French-speaking peritoneal and home hemodialysis Registry (RDPLF). Focus is placed on patients treated by peritoneal dialysis (PD) in mainland France. Results: in home hemodialysis (HHD)the incidence is 6% in Belgium and 4.8% in mainland France. On peritoneal dialysis it is 10.6% in Belgium, 6.7% in mainland France, 10.8% in Morocco and 11.5% in Tunisia. Lethality is less than 5% in HHD and between 8.4% and 42.7% in PD depending on age and associated comorbidities. In France, the percentage of patients who have had symptomatic Covid-19 is lower on home dialysis, all methods combined. Nevertheless, among the home methods, the higher frequencies and severities are observed in mainland France in home assisted PD: these are the oldest and most co-morbid patients. Transfers from PD to in center hemodialysis have increased during Covid-19 pandemic while the number of transplants has decreased. Conclusion: if the drop in the number of transplants can be explained by a reduced availability of operating theaters and surgical teams during a pandemic period, it is paradoxical that the prescription of home dialysis, which should be supposed to limit the risk of contagion, has decreased. More investigation should be performed to understand this paradox.

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