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Diagnosed with Chronic Kidney disease, taking haemo dialysis. Go for peritoneal dialysis?

Hi, My mother(age 47) is diagnosed with Chronic Kidney disease in September 2012 and hence been taking Haemo dialysis twice a week. Doctor has suggested for renal transplantation, but how to go about that ? What is the best process to identify the donor among our family members and convince them for organ donation ? Meanwhile is it advisable to go for peritoneal dialysis and does it have any extra complications(infections etc.) compared to haemo ?
Asked On : Sun, 27 Jan 2013
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Nephrologist 's  Response
The benefits of Peritoneal Dialysis are usually based on lifestyle - freedom of schedule and ability to do it at home. The medical benefits from peritoneal dialysis related to long term outcomes is more or less the same. There is some evidence of benefit by preservation of residual renal function, more so if the patient is not a diabetic. If a diabetic, peritoneal dialysis may pose a problem for glycemic control and weight gain. Long term survival is more or less the same.

Regarding kidney transplantation, the first step would be to determine is she would be a suitable transplant candidate. If her nephrologist has already indicated so, then I would search within your state for a local transplant center. Contact the transplant center directly and ask for information on transplant. She will be screened via a questionarre, insurance verification and review of her records as well as possibly a consultation with a physician. Regarding potential doners, the transplant program will guide you and assist in testing those that are interested in donating.

Regarding how to "convince" someone - it is purely a personal decision and the doner should be willing to proceed without hesistation otherwise if there is a bump along the way, they may regret their decision. FYI extensive psychologic evalution of the doner and recipient will be done by a center before proceeding with transplant
Answered: Sat, 9 Feb 2013
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