International Journal of Gerontology
Volume 3, Issue 3 , Pages 143-148, September 2009

Surgical Outcome of Peritoneal Dialysis in Elderly Patients

  • Xin-Yi Ng

      Affiliations

    • Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Chien-Liang Liu

      Affiliations

    • Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Tsang-Pai Liu

      Affiliations

    • Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Wen-Ching Ko

      Affiliations

    • Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Shih-Ping Cheng

      Affiliations

    • Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Chih-Jen Wu

      Affiliations

    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • Department of Nephrology, Mackay Memorial Hospital, Taipei, Taiwan
    • Graduate Institute of Medical Sciences, Taipei Medical University, Taipei, Taiwan
    • ,
  • Jie-Jen Lee

      Affiliations

    • Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan
    • Institute of Pharmacology, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Jie-Jen Lee, Department of Surgery, Mackay Memorial Hospital 92, Section 2, Chung-Shan North Road, Taipei 10449, Taiwan

Accepted 23 June 2009.

Article Outline

Summary 

Background

The success of peritoneal dialysis (PD) in elderly patients has been reported to be either slightly inferior or equivalent to that of younger patients. The purpose of this study was to evaluate the outcome and suitability of PD in older individuals.

Methods

Between January 2005 and December 2007, 67 patients with end-stage renal disease who underwent a surgical PD catheter insertion procedure were enrolled in this study. Complications related to PD catheters, hospital stay, morbidity, mortality, and catheter survival were assessed. Analysis of catheter survival was performed using the Kaplan-Meier method.

Results

Fifteen elderly patients (65 years and older) undergoing PD catheter placement had similar complication rates (p = 0.568) and catheter survival (log rank test, p = 0.805) to those of the younger group. The postoperative stay was longer in elderly patients (24 vs. 18 days; p = 0.049).

Conclusion

Our results indicate that PD is a feasible and safe option for elderly patients with end-stage renal disease.

Key Words:  geriatrics , renal replacement therapy , uremia

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 The data of this study have been presented in part at the International Conference of Geriatric Emergency and Critical Care in Taipei, Taiwan (December 2008).

PII: S1873-9598(09)70039-0

doi:10.1016/S1873-9598(09)70039-0

International Journal of Gerontology
Volume 3, Issue 3 , Pages 143-148, September 2009

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