kidney dialysis vs kidney transplant comparison … standard (days, 3-5 ... kidney dialysis vs...

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Kidney Dialysis vs. Transplant Comparison Chart Chart Courtesy of the National Kidney Center www.nationalkidneycenter.org 1 Kidney Dialysis Type Pros Cons Home Dialysis – Peritoneal (CAPD) Continuous Ambulatory Peritoneal Dialysis (4-5 times/day) (CCPD) Continuous Cycling Peritoneal Dialysis (6-8 hrs every nite) Needs no machine for CAPD Fewer diet and fluid restrictions Portable for ease of travel Needle-free treatments Dialyze while you sleep Fewer peaks and valleys Doctor visits and labs performed once a month at a clinic Increased risk of peritonitis (abdominal infection) Requires space for supplies Potential weight gain Cycling machine needed for CCPD Plastic tube from abdomen may be hindrance Home Dialysis – Hemodialysis Short daily (2-3 hours, 6 days/wk) Traditional (3-4 hrs, 3 times/wk) Nocturnal (6-8 hrs 3+ days/wk) Flexible treatment time Doctor visits and labs only once a month Nocturnal allows dialysis while you sleep Dialysis in the comfort of your own home A machine is required Requires modifications to home electrical and plumbing Care partner required for needle insertion Must order and have room for supplies May have problems with fistula, AV graft not working In Center Hemodialysis Standard (days, 3-5 hrs, 3 times/wk) Nocturnal (nights, 8 hrs, 3 times/wk) Dialysis centers are found all over the country Skilled health care providers with you at all times Don’t have to put in own needle Get to know other dialysis patients Immediate access to emergency care if needed Do not need to store supplies in your home Frequent access to your health care team Nocturnal dialysis allows more time for activities Fistula or AV graft surgically inserted Must travel to a center Disrupts work schedule due to fixed schedule Less privacy (Sleep with other patients for nocturnal) More ups and downs in how you feel Must maintain a strict diet and fluid restriction Must follow center’s rules regarding food, visitors, cell phones etc.

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Kidney Dialysis vs. Transplant Comparison Chart

Chart Courtesy of the National Kidney Center www.nationalkidneycenter.org 1

Kidney Dialysis

Type Pros Cons

Home Dialysis – Peritoneal (CAPD)

Continuous Ambulatory Peritoneal Dialysis (4-5 times/day)

(CCPD) Continuous Cycling Peritoneal Dialysis (6-8 hrs every nite)

Needs no machine for CAPD Fewer diet and fluid

restrictions Portable for ease of travel Needle-free treatments Dialyze while you sleep Fewer peaks and valleys Doctor visits and labs

performed once a month at a clinic

Increased risk of peritonitis (abdominal infection)

Requires space for supplies Potential weight gain Cycling machine needed for

CCPD Plastic tube from abdomen may

be hindrance

Home Dialysis – Hemodialysis

Short daily (2-3 hours, 6 days/wk)

Traditional (3-4 hrs, 3 times/wk)

Nocturnal (6-8 hrs 3+ days/wk)

Flexible treatment time Doctor visits and labs only

once a month Nocturnal allows dialysis

while you sleep Dialysis in the comfort of your

own home

A machine is required Requires modifications to home

electrical and plumbing Care partner required for needle

insertion Must order and have room for

supplies May have problems with fistula,

AV graft not working

In Center Hemodialysis

Standard (days, 3-5 hrs, 3 times/wk)

Nocturnal (nights, 8 hrs, 3 times/wk)

Dialysis centers are found all over the country

Skilled health care providers with you at all times

Don’t have to put in own needle

Get to know other dialysis patients

Immediate access to emergency care if needed

Do not need to store supplies in your home

Frequent access to your health care team

Nocturnal dialysis allows more time for activities

Fistula or AV graft surgically inserted

Must travel to a center Disrupts work schedule due to

fixed schedule Less privacy (Sleep with other

patients for nocturnal) More ups and downs in how you

feel Must maintain a strict diet and

fluid restriction Must follow center’s rules

regarding food, visitors, cell phones etc.

Kidney Dialysis vs. Transplant Comparison Chart

Chart Courtesy of the National Kidney Center www.nationalkidneycenter.org 2

Kidney Transplant

Type Pros Cons

Compatible Living Related Donor Transplant

May be able to be transplanted prior to start of dialysis

Shorter wait time for transplant Better genetic match lessens risk of

rejection Transplant takes place at a

convenient time for both donor and recipient

Kidney usually functions immediately

Improved health with more active lifestyle

Psychological stress of having a family member involved Time involved for evaluation and

testing process May be responsible for travel

expenses, wages lost

Compatible Deceased Donor Transplant

No longer need dialysis Improved health with more active

lifestyle

Wait time for kidney may be years

Kidney may not function immediately

Rejection rate higher May be responsible for travel

expenses, wages lost

Compatible Living Paired Donation Transplant

You receive a compatible kidney from a living donor other than a family member

Kidney usually functions immediately

May find a younger donor or a perfect 6-antigen match

Multiple recipients can benefit with NEAD (Never Ending Altruistic Donation) paired transplant

Shortens time on dialysis

More recipients transplanted, fewer on waiting list

Improved health with more active lifestyle

Your family can donate, but not directly for you

Will need to wait on dialysis while finding a match

Not all transplant centers can handle multiple simultaneous transplants

Complicated process

Kidney Dialysis vs. Transplant Comparison Chart

Chart Courtesy of the National Kidney Center www.nationalkidneycenter.org 3

Kidney Transplant (Contd.)

Type Pros Cons

Incompatible Blood or Tissue Type Transplant

Positive cross matched patients are now able to receive a transplant

Improved health with more active lifestyle

Shortens time on dialysis

Not all transplant centers will accept highly sensitized patients

More procedures (plasmapheresis, immune globulin therapy) are needed