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Background <p>The number of patients with kidney failure requiring kidney replacement therapy (KRT) is steadily increasing due to demographic changes and the rising prevalence of diabetes, hypertension, and cardiovascular disease. At the same time, nephrological resources, especially in rural areas, are limited.</p> Objectives <p>This article aims to provide general practitioners with a&#xa0;structured overview of peritoneal dialysis (PD), focusing on its indications, procedures, and complications, and to support their role in therapy advice and ongoing care.</p> Materials and methods <p>We present an overview of the current principles of PD as a&#xa0;renal replacement therapy. In addition to technical implementation, key differences compared to hemodialysis are discussed. The emphasis is on practical aspects relevant to general practice, including patient selection, training, and complication management.</p> Results <p>PD is a&#xa0;well-established, resource-efficient home dialysis method offering clinical and logistical advantages, particularly for elderly or comorbid patients. It requires hygienic discipline, structured training, and—if needed—support from family members or professional caregivers. Early involvement of general practitioners contributes to improved planning, prevention of unplanned dialysis initiation, and timely referral to nephrology services.</p> Conclusion <p>With careful selection of indication and good interdisciplinary cooperation, PD represents an effective and increasingly important dialysis option. General practitioners play a&#xa0;central role in advising and supporting patients and recognizing complications.</p>

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Die Peritonealdialyse im Aufwind: ein praktischer Leitfaden für die Allgemeinmedizin

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月5日

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  • Grit Esser,
  • T. Schrumpf,
  • Christiane Godt,
  • H. Kaduszkiewicz,
  • K. Schulte

摘要

Background

The number of patients with kidney failure requiring kidney replacement therapy (KRT) is steadily increasing due to demographic changes and the rising prevalence of diabetes, hypertension, and cardiovascular disease. At the same time, nephrological resources, especially in rural areas, are limited.

Objectives

This article aims to provide general practitioners with a structured overview of peritoneal dialysis (PD), focusing on its indications, procedures, and complications, and to support their role in therapy advice and ongoing care.

Materials and methods

We present an overview of the current principles of PD as a renal replacement therapy. In addition to technical implementation, key differences compared to hemodialysis are discussed. The emphasis is on practical aspects relevant to general practice, including patient selection, training, and complication management.

Results

PD is a well-established, resource-efficient home dialysis method offering clinical and logistical advantages, particularly for elderly or comorbid patients. It requires hygienic discipline, structured training, and—if needed—support from family members or professional caregivers. Early involvement of general practitioners contributes to improved planning, prevention of unplanned dialysis initiation, and timely referral to nephrology services.

Conclusion

With careful selection of indication and good interdisciplinary cooperation, PD represents an effective and increasingly important dialysis option. General practitioners play a central role in advising and supporting patients and recognizing complications.