Patients with worsening kidney function should receive education regarding their treatment options. Several options are available for patients whose kidney function deteriorates to the point of requiring dialysis or kidney transplantation.
Dialysis is performed to replace some of the function of healthy kidneys, mainly removing toxins and excess fluid.
Each form of dialysis has pros and cons, and not all patients are candidates for each option.
Peritoneal Dialysis is a bloodless procedure performed by the patient at home.
Home hemodialysis involves filtering blood through a dialysis machine at home.
In-center hemodialysis is performed when the patient comes into the dialysis unit to receive their treatment, usually three times weekly on a fixed schedule.
Kidney Transplant can be performed from a living or deceased donor. Individuals may receive a kidney transplant prior to needing dialysis. Kidney transplant requires the use of medications that suppress the immune system to prevent rejection. For patients who are good candidates, kidney transplant is the best option for long-term survival and improved quality of life.
Conservative Care: Some patients, mainly older individuals with multiple medical problems, are not kidney transplant candidates and may not benefit from dialysis. A good option for them is conservative care, where symptoms of kidney failure are treated with diet and medications.
