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.
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