Dialysis modalities include hemodialysis, either in a dialysis center or at home, or peritoneal dialysis, including chronic ambulatory peritoneal dialysis (CAPD) or automated peritoneal dialysis (APD). This topic reviews the selection of dialysis modality and patient outcomes that are associated with specific modalities. Selection of dialysis modality The selection of dialysis modality is influenced by a number of considerations such as: Availability and convenience Comorbid conditions Socioeconomic and dialysis-center factors the patient's home situation The method of clinician reimbursement and the ability to tolerate volume shifts.
Predialysis education regarding different modalities may increase the patient selection of peritoneal dialysis. Patients who are selected for peritoneal dialysis may have fewer comorbidities compared with those who undergo hemodialysis. Among some…