Download Full Text (726 KB)

Document Type



The objective of this research and systematic literature review was to determine the dialysis modality of choice for elderly patients with end-stage renal disease. This literature review compared the outcomes of hemodialysis and peritoneal dialysis, which was judged by morbidity, mortality, and quality of life.

• PubMed, Embase, and DynaMedwere searched using a specific set of keywords and mesh headings. Results of the searches were then filtered to include human-only studies, patients over 65 years old, and published within the last ten years. There were 12 studies that met inclusion criteria and were selected.

• The studies suggested that there were similar outcomes in elderly patients receiving hemodialysis and peritoneal dialysis. It was concluded that dialysis modality selection should be made on an individual patient basis after first considering each patient’s goals of healthcare, co-morbid conditions, and life experiences. The different dialysis modalities should be discussed between the provider and the patient in detail, and a joint decision can then be made.

• Lastly, barriers should be identified so that they can be overcome with proper education, counseling, and assistance. These steps will allow the patient to be successful with their selected dialysis modality.


Physician Assistant Studies

Date of Work


Publication Date



Hemodialysis, peritoneal dialysis, dialysis, end-stage renal disease, morbidity, mortality, quality of life, elderly


Medicine and Health Sciences

Comparison of Hemodialysis and Peritoneal Dialysis Outcomes in the Older Adult Patient