Abstract

GARRIDO LOPEZ, María del Valle; SESMERO RAMOS, Carolina  and  PORTOLES PEREZ, José María. Study on the change in choice of renal replacement treatment in patients who have opted for peritoneal dialysis. Rev Soc Esp Enferm Nefrol [online]. 2006, vol.9, n.1, pp.07-11. ISSN 1139-1375.

The choice of renal replacement treatment is a crucial decision in patients with chronic renal failure. Hence the importance of the information we offer them in the pre-dialysis consultation. Within the group of patients who opt for peritoneal dialysis (PD) as a renal replacement therapy (RRT), there are some who at their own choice change this decision and move onto haemodialysis (HD), either at the pre-dialysis phase or even after having started peritoneal dialysis. We have analysed the choice of RRT in our health area, patient characteristics, prevalence and the variables that influence the decision to change technique (from PD to HD), determining the profile of patients most likely to change their mind. The results show that the family has a significant influence on the change in option. The main concern of all patients who choose PD is the fear of peritonitis, both if they change their mind and if they do not. A common complaint is the lack of space to store the material. Other important characteristics are: the fact that it is considered a complicated technique (36.4%), that it requires the collaboration of another person (27.3%) and that there is pressure from the family against using this technique (27.3%).

Keywords : Choice of technique; Change of technique; Peritoneal dialysis; Pre-Dialysis.

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