title: Quality of life of elderly patients on peritoneal dialysis versus hemodialysis: a single-center study.
abstract: BACKGROUND
  The number of elderly dialysis patients in Japan is dramatically increasing. Receiving therapy with better satisfaction through home care is one of the important factors in their daily lives. Thus, the quality of life of elderly patients on hemodialysis (HD) or peritoneal dialysis (PD) was evaluated.
  
  
  METHODS
  Clinical information of patients aged ≥80 years who started dialysis at our hospital between January 2013 and December 2015 was retrospectively collected. The mortality rate, length of hospitalization, and place of death were identified to evaluate patient quality of life.
  
  
  RESULTS
  In total, 56 patients (14 PD and 42 HD) were enrolled. The mean age of study subjects was 85.2 ± 4.0 years. The proportion of PD patients who lived with their family or have professional caregivers who could assist them in their daily life was higher than that of HD patients (100 vs. 76.2%, respectively; p = 0.044). Mortality rate was higher in PD patients than in HD patients (p = 0.003), but long-term hospitalization of >180 days was observed only in HD patients (PD vs. HD: 0.0 vs. 16.7%; p = 0.102). In patients with Barthel index scores <100, the long-term hospitalization difference was significant (PD vs. HD: 0.0 vs. 30.4%; p = 0.040). Of note, 6 of 7 deceased PD patients and 1 of 10 deceased HD patients died at home (p = 0.002).
  
  
  CONCLUSIONS
  PD is a desirable home care therapy for elderly patients, but the burden on caregivers should be considered.
authors.affiliation: Department of Internal Medicine, Kasugai Municipal Hospital, Takakicho 1-1-1, Kasugai, Aichi, Japan. yosukesaka@hospital.kasugai.aichi.jp.
authors.forename: Yosuke
authors.identifier: http://orcid.org/0000-0002-4167-7654
authors.initials: Y
authors.lastname: Saka
authors.affiliation: Department of Internal Medicine, Kasugai Municipal Hospital, Takakicho 1-1-1, Kasugai, Aichi, Japan.
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Naruse
authors.affiliation: Department of Internal Medicine, Kasugai Municipal Hospital, Takakicho 1-1-1, Kasugai, Aichi, Japan.
authors.forename: Naoto
authors.initials: N
authors.lastname: Tawada
authors.affiliation: Department of Internal Medicine, Kasugai Municipal Hospital, Takakicho 1-1-1, Kasugai, Aichi, Japan.
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Tokomoto
authors.affiliation: Department of Internal Medicine, Kasugai Municipal Hospital, Takakicho 1-1-1, Kasugai, Aichi, Japan.
authors.forename: Yuhei
authors.initials: Y
authors.lastname: Noda
authors.affiliation: Department of Internal Medicine, Kasugai Municipal Hospital, Takakicho 1-1-1, Kasugai, Aichi, Japan.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Taniguchi
authors.affiliation: Department of Internal Medicine, Kasugai Municipal Hospital, Takakicho 1-1-1, Kasugai, Aichi, Japan.
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Nagahara
authors.affiliation: Department of Internal Medicine, Kasugai Municipal Hospital, Takakicho 1-1-1, Kasugai, Aichi, Japan.
authors.forename: Ryoko
authors.initials: R
authors.lastname: Yamashita
authors.affiliation: Department of Internal Medicine, Kasugai Municipal Hospital, Takakicho 1-1-1, Kasugai, Aichi, Japan.
authors.forename: Munetoshi
authors.initials: M
authors.lastname: Karasawa
authors.affiliation: Department of Internal Medicine, Kasugai Municipal Hospital, Takakicho 1-1-1, Kasugai, Aichi, Japan.
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Watanabe
authors.affiliation: Department of Nephrology, Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Nagoya, Japan.
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Ito
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology; D017028:Caregivers / Q000523:psychology; D017281:Cost of Illness; D005260:Female; D006437:Hemodialysis, Home / Q000009:adverse effects; D006801:Humans; D007564:Japan; D053208:Kaplan-Meier Estimate; D007674:Kidney Diseases / Q000401:mortality / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D007902:Length of Stay; D008297:Male; D010343:Patient Admission; D017060:Patient Satisfaction; D010530:Peritoneal Dialysis / Q000009:adverse effects; D011788:Quality of Life; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome
keywords: Elderly patient; Peritoneal dialysis; Quality of life