Abstract

URIBE BETANCUR, José Mauricio  and  MOLANO TRIVINO, Alejandra Patricia. There´s no place like home. Peritoneal Dialysis in hard times. What haven´t we understood?. Rev. colom. nefrol. [online]. 2021, vol.8, n.1, e301.  Epub Oct 22, 2021. ISSN 2500-5006.  https://doi.org/10.22265/acnef.8.1.428.

Peritoneal Dialysis is a therapy equal to or superior to hemodialysis, it is cost-effective and has allowed vital dialysis support to populations that have been victims of natural disasters. In the current circumstances of pandemic and social isolation because of COVID 19, peritoneal dialysis, being a home therapy, reduces the risks of exposure for patients, caregivers, and care teams, however, it is a globally underused therapy. We would like to show the benefits of peritoneal dialysis over hemodialysis and its outcomes in times of disaster, presenting it as the best alternative even in times of pandemic. A non-systematic review of the literature was done, looking for the benefits of peritoneal dialysis vs. hemodialysis and its outcomes in calamity situations. Here we included 75 articles that were published between 1993 and March 2020 were included. These studies show the multiple benefits of peritoneal dialysis over hemodialysis and being the best alternative in disaster situations. So we conclude that peritoneal dialysis has significant benefits over hemodialysis, among these is a greater probability of survival, particularly in the first two years, a lower speed in the rate of loss of residual renal function, allows to preserve vascular accesses, there is greater possibility of post-transplant survival. In addition to being more economical and in situations of natural disasters, such as this pandemic, it has facilitated the continuity of care and acute or chronic dialysis support for victims.

Keywords : peritoneal dialysis; hemodialysis; natural disasters; pandemic; quarantine..

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