nefrНефрологияNephrology (Saint-Petersburg)1561-62742541-9439Pavlov First Saint-Petersburg State Medical University10.24884/1561-6274-2012-16-4-105-108nefr-639Research ArticleПРОГРАММА НЕПРЕРЫВНОГО ПОСЛЕДИПЛОМНОГО ОБРАЗОВАНИЯ ПО НЕФРОЛОГИИPROGRAM ON CONTINUOUS POSTGRADUATE EDUCATION ON NEPHROLOGYПЕРИТОНЕАЛЬНЫЙ ДИАЛИЗ У ПОЖИЛЫХ БОЛЬНЫХPERITONEAL DIALYSIS IN ELDERLYЗорчеваР. И.ZortchevaR. Y.

Dr. Rossitsa Yordanova Zortcheva, 55 Marin Drinov street, 9002, Varna, Tel.: +359 878 509 283

zortcheva@mail.bgИкономовВ. Х.IkonomovV. Ch.Клиника нефрологии и диализа медицинского университетаBulgaria201210042012164105108Copyright © Зорчева Р.И., Икономов В.Х., 20122012Зорчева Р.И., Икономов В.Х.Zortcheva R.Y., Ikonomov V.C.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephrolog.ru/jour/article/view/639

В обзоре приводятся данные об увеличении доли пожилых больных среди пациентов с хронической болезнью почек. Обсуждается выбор оптимального метода заместительной почечной терапии для лиц старших возрастных групп. Особое внимание обращено на преимущества перитонеального диализа, особенности его проведения, осложнения, выживаемость и смертность в разных странах мира.

The review provides data of increase of elderly patients quotient among patients with chronic kidney disease. The choice of an optimum method of renal replacement therapy for elderly patients is discussed. The special attention is turned on advantages of peritoneal dialysis, features of its carrying out, complications, survival rate and mortality in different countries of the world.

перитонеальный диализпожилые больныехроническая болезнь почекperitoneal dialysiselderly patientschronic kidney diseaseReferencesREIN Registry 2005 annual report: http://www.agence biomedecine.fr/fr/experts /gref fesorganes-rein.aspxREIN Registry 2005 annual report: http://www.agence biomedecine.fr/fr/experts /gref fesorganes-rein.aspxVerger C, Ryckelynck JP, Duman M. et al. French peritoneal dialysis registry [RDPLF]: outline and main results. Kidney Int 2006; 70: S12–S20Verger C, Ryckelynck JP, Duman M. et al. French peritoneal dialysis registry [RDPLF]: outline and main results. Kidney Int 2006; 70: S12–S20Ansell D, Feehally J, Feest TG. et al. UK renal registry report 2007, Bristol, UK; UK renal registry; 2007Ansell D, Feehally J, Feest TG. et al. UK renal registry report 2007, Bristol, UK; UK renal registry; 2007Schaubel DE, Fenton S. Trends in mortality on peritoneal dialysis: Canada, 1981–1997. J Am Soc Nephrol 2000; 11: 126–133Schaubel DE, Fenton S. Trends in mortality on peritoneal dialysis: Canada, 1981–1997. J Am Soc Nephrol 2000; 11: 126–133Kurella M, Covinsky KE, Collins AJ, Chertow GM. Octogenarian s and nonagenarians starting dialysis in the United States. Ann Int Med 2007; 146:177-183Kurella M, Covinsky KE, Collins AJ, Chertow GM. Octogenarian s and nonagenarians starting dialysis in the United States. Ann Int Med 2007; 146:177-183Li PKT, Szeto CC: Success of the PD programme in Hong Kong. Nephrol Dial Transplant 2008; 23; 1475-1478Li PKT, Szeto CC: Success of the PD programme in Hong Kong. Nephrol Dial Transplant 2008; 23; 1475-1478Dimkovic N and DG Oreopoulos. Chronic peritoneal dialysis in the elderly: a review. Perit Dial Int 2000, 20 [3]: 276-283Dimkovic N and DG Oreopoulos. Chronic peritoneal dialysis in the elderly: a review. Perit Dial Int 2000, 20 [3]: 276-283United States Renal Data System. Comorbid condition and correlation with mortality risk among 3,399 incident hemodialysis patients. Am J Kidney Dis 1992; 20 [Suppl 2]:S32–38.United States Renal Data System. Comorbid condition and correlation with mortality risk among 3,399 incident hemodialysis patients. Am J Kidney Dis 1992; 20 [Suppl 2]:S32–38.Williams P, Rush DR. Geriatric polypharmacy. Hosp Pract 1986; 21:109–120.Williams P, Rush DR. Geriatric polypharmacy. Hosp Pract 1986; 21:109–120.Evans RW, Manninem DL, Garrison LP Jr, Hart LG, Blagg CR, Gutman RA, et al. The quality of life of patients with end stage renal diseases. N Engl J Med 1985; 312: 553–559.Evans RW, Manninem DL, Garrison LP Jr, Hart LG, Blagg CR, Gutman RA, et al. The quality of life of patients with end stage renal diseases. N Engl J Med 1985; 312: 553–559.Wolcott DL, Nissenson AR, Landsvern J. Quality of life in chronic dialysis patients: factors unrelated to dialysis modality. Gen Hosp Psychiatry 1988; 10: 267–277Wolcott DL, Nissenson AR, Landsvern J. Quality of life in chronic dialysis patients: factors unrelated to dialysis modality. Gen Hosp Psychiatry 1988; 10: 267–277Nissenson AR. Quality of life in elderly and diabetic patients on peritoneal dialysis. Perit Dial Int 1996; 16 [Suppl 1]: S 405–409Nissenson AR. Quality of life in elderly and diabetic patients on peritoneal dialysis. Perit Dial Int 1996; 16 [Suppl 1]: S 405–409Cameron JI, Whiteside C, Katz J, Devins G. Differences in quality of life across renal replacement therapies: a meta-analysis comparison. Am J Kidney Dis 2000; 35:629–637Cameron JI, Whiteside C, Katz J, Devins G. Differences in quality of life across renal replacement therapies: a meta-analysis comparison. Am J Kidney Dis 2000; 35:629–637Simmons RG, Anderson C, Kamstra L. Comparison of quality of life of patients on continuous ambulatory peritoneal dialysis, hemodialysis, and after transplantation. Am J Kidney Dis 1984; 4: 253–255Simmons RG, Anderson C, Kamstra L. Comparison of quality of life of patients on continuous ambulatory peritoneal dialysis, hemodialysis, and after transplantation. Am J Kidney Dis 1984; 4: 253–255Gokal R. Quality of life in patients undergoing renal replacement therapy. Kidney Int 1993; 43 [Suppl 40]: S23–27Gokal R. Quality of life in patients undergoing renal replacement therapy. Kidney Int 1993; 43 [Suppl 40]: S23–27Brown EA. PD in elderly. In : Peritoneal dialysis – from basic concepts to clinical excellence. Contrib Nephrol. Eds C Ronco, C Crepaldi, DN Cruz, Basel, Karger, 2009, vol 163, 264-269Brown EA. PD in elderly. In : Peritoneal dialysis – from basic concepts to clinical excellence. Contrib Nephrol. Eds C Ronco, C Crepaldi, DN Cruz, Basel, Karger, 2009, vol 163, 264-269Guest S. Catheter and placement techniques. In: Handbook of peritoneal dialysis. 2010, 55-70Guest S. Catheter and placement techniques. In: Handbook of peritoneal dialysis. 2010, 55-70Brown EA, Max Dratwa, Johan V. Povlsen. Assisted peritoneal dialysis – an evolving dialysis modality. Nephrol Dial Transplant 2007, 22: 3091-3092Brown EA, Max Dratwa, Johan V. Povlsen. Assisted peritoneal dialysis – an evolving dialysis modality. Nephrol Dial Transplant 2007, 22: 3091-3092Povlsen JV, Per Ivarsen, Assisted automated PD [AAPD] for the functionally dependent and elderly patient, Peritoneal Dialysis International, Vol. 25, 2005, Supplement 3, S 60 – 63Povlsen JV, Per Ivarsen, Assisted automated PD [AAPD] for the functionally dependent and elderly patient, Peritoneal Dialysis International, Vol. 25, 2005, Supplement 3, S 60 – 63De Vecchi A, Maccario M, Braga M. et al. Peritoneal dialysis in nondiabetic patients older than 70 years: comparison with patients aged 40 to 60 years. Am J Kidney Dis 1998; 31:479–490De Vecchi A, Maccario M, Braga M. et al. Peritoneal dialysis in nondiabetic patients older than 70 years: comparison with patients aged 40 to 60 years. Am J Kidney Dis 1998; 31:479–490Ross CJ, Rutsky EA. Dialysis modality in the elderly patients with end-stage renal disease: advantages and disadvantages of peritoneal dialysis. Adv Perit Dial 1990; 6 [Suppl]:11–17Ross CJ, Rutsky EA. Dialysis modality in the elderly patients with end-stage renal disease: advantages and disadvantages of peritoneal dialysis. Adv Perit Dial 1990; 6 [Suppl]:11–17Baek MY, Kwon TH, Kim YL, Cho DK. CAPD, an acceptable form of therapy in elderly ESRD patients: a comparative study. Adv Perit Dial 1997; 13:158 –161Baek MY, Kwon TH, Kim YL, Cho DK. CAPD, an acceptable form of therapy in elderly ESRD patients: a comparative study. Adv Perit Dial 1997; 13:158 –161Nolph KD, Lindblad AS, Novak JW, Steinberg SM. Experiences with the elderly in the National CAPD Registry. Adv Perit Dial 1990; 6: 33–38Nolph KD, Lindblad AS, Novak JW, Steinberg SM. Experiences with the elderly in the National CAPD Registry. Adv Perit Dial 1990; 6: 33–38Gokal R. CAPD in the elderly-European and UK experience. Adv Perit Dial 1990; 6: 38–40Gokal R. CAPD in the elderly-European and UK experience. Adv Perit Dial 1990; 6: 38–40Jagose JT, Afthentopoulos IE, Shetty A, Oreopoulos D. Successful use of continuous ambulatory peritoneal dialysis in octogenarians. Geriatr Nephrol Urol 1996; 5:135–141Jagose JT, Afthentopoulos IE, Shetty A, Oreopoulos D. Successful use of continuous ambulatory peritoneal dialysis in octogenarians. Geriatr Nephrol Urol 1996; 5:135–141Piccoli G, Quarello F, Salomone M. et al. Dialysis in the elderly: comparison of different dialysis modalities. Adv Perit Dial 1990; 6: 72–81Piccoli G, Quarello F, Salomone M. et al. Dialysis in the elderly: comparison of different dialysis modalities. Adv Perit Dial 1990; 6: 72–81Holley JL, Bernardini J, Perlmutter JA, Piraino B. A comparison of infection rates among older and younger patients on continuous peritoneal dialysis. Perit Dial Int 1994; 14:66–69Holley JL, Bernardini J, Perlmutter JA, Piraino B. A comparison of infection rates among older and younger patients on continuous peritoneal dialysis. Perit Dial Int 1994; 14:66–69Nissenson AR, Diaz-Buxo JA, Adcock A, Nelms M. Peritoneal dialysis in the geriatric patient. Am J Kidney Dis 1990; 16: 335–338Nissenson AR, Diaz-Buxo JA, Adcock A, Nelms M. Peritoneal dialysis in the geriatric patient. Am J Kidney Dis 1990; 16: 335–338Bargman JM. Complication of peritoneal dialysis related to increased intra-abdominal pressure. Kidney Int 1993; 43 [Suppl 40]: S75–80Bargman JM. Complication of peritoneal dialysis related to increased intra-abdominal pressure. Kidney Int 1993; 43 [Suppl 40]: S75–80De Vecchi AF, Maccario M, Ponticelli C. Peritoneal dialysis in the ninth decade of life: experience in a single center. Geriatr Nephrol Urol 1996; 6:75–80De Vecchi AF, Maccario M, Ponticelli C. Peritoneal dialysis in the ninth decade of life: experience in a single center. Geriatr Nephrol Urol 1996; 6:75–80Issad B, Benevent D, Allounache M, Durand PY. et al. 213 Elderly uremic patients over 75 years of age treated with long-term peritoneal dialysis: a French multicenter study. Perit Dial Int 1996; 16 [Suppl 1]: S414–418Issad B, Benevent D, Allounache M, Durand PY. et al. 213 Elderly uremic patients over 75 years of age treated with long-term peritoneal dialysis: a French multicenter study. Perit Dial Int 1996; 16 [Suppl 1]: S414–418Dombros NV, Oreopoulos DG. Nutritional aspects of patients on CAPD. In: La Greca G, Chiamonte S, Fabris A, Feriani M, Ronco C, eds. Peritoneal dialysis. Proceedings of the Third International Course on Peritoneal Dialysis, Vicenza, Italy, 1988. Milan: Wichtig, 1988: 113–118Dombros NV, Oreopoulos DG. Nutritional aspects of patients on CAPD. In: La Greca G, Chiamonte S, Fabris A, Feriani M, Ronco C, eds. Peritoneal dialysis. Proceedings of the Third International Course on Peritoneal Dialysis, Vicenza, Italy, 1988. Milan: Wichtig, 1988: 113–118Stack AG, Messana JM. Renal replacement therapy in the elderly: medical, ethical and psychosocial consideration. Adv Ren Replace Ther 2000; 7:52–62Stack AG, Messana JM. Renal replacement therapy in the elderly: medical, ethical and psychosocial consideration. Adv Ren Replace Ther 2000; 7:52–62Byrne C, Vernon P, Cohen JJ. Effect of age and diagnosis on survival of old patients beginning chronic dialysis. JAMA 1994; 271:34–36Byrne C, Vernon P, Cohen JJ. Effect of age and diagnosis on survival of old patients beginning chronic dialysis. JAMA 1994; 271:34–36Anderson JE, Kraus J, Sturgeon D. Incidence, prevalence and outcomes of end-stage renal disease patients placed in nursing homes. Am J Kidney Dis 1993; 21:619–627Anderson JE, Kraus J, Sturgeon D. Incidence, prevalence and outcomes of end-stage renal disease patients placed in nursing homes. Am J Kidney Dis 1993; 21:619–627Anderson JE. Ten years’ experience with CAPD in a nursing home setting. Perit Dial Int 1997; 17:255–261Anderson JE. Ten years’ experience with CAPD in a nursing home setting. Perit Dial Int 1997; 17:255–261Schleifer CR. Peritoneal dialysis in nursing homes. Adv Perit Dial 1990; 6: 86–91Schleifer CR. Peritoneal dialysis in nursing homes. Adv Perit Dial 1990; 6: 86–91United States Renal Data System. USRDS 1999 Annual data report. Bethesda, MD: National Institutes of Health, National Institutes of Diabetes Digestive and Kidney Disease, April 1999United States Renal Data System. USRDS 1999 Annual data report. Bethesda, MD: National Institutes of Health, National Institutes of Diabetes Digestive and Kidney Disease, April 1999Salomone M, Picolli GB, Qarello F. et al. Dialysis in the elderly: improvement of survival results in the eighties. Nephrol Dial Transplant 1995; 10 [Suppl 6]: 60–64Salomone M, Picolli GB, Qarello F. et al. Dialysis in the elderly: improvement of survival results in the eighties. Nephrol Dial Transplant 1995; 10 [Suppl 6]: 60–64Giuseppe P, Mario S, Barbara G. et al. Elderly patients on dialysis: epidemiology of an epidemic. Nephrol Dial Transplant 1996; 11[Suppl 9]:26–30Giuseppe P, Mario S, Barbara G. et al. Elderly patients on dialysis: epidemiology of an epidemic. Nephrol Dial Transplant 1996; 11[Suppl 9]:26–30Moran J. Changes in the dose of peritoneal dialysis: have these independently affected outcomes? Am J Kidney Dis 1998; 32 [Suppl 4]: S 52–57Moran J. Changes in the dose of peritoneal dialysis: have these independently affected outcomes? Am J Kidney Dis 1998; 32 [Suppl 4]: S 52–57

The authors declare that there are no conflicts of interest present.