Managing Hospitalized Peritoneal Dialysis Patients: Ten Practical Points for Non-Nephrologists

Am J Med. 2021 Jul;134(7):833-839. doi: 10.1016/j.amjmed.2021.02.007. Epub 2021 Mar 15.


Although nephrologists are responsible for the long-term care of dialysis patients, physicians from all disciplines will potentially be involved in the management of patients with kidney failure, including patients on peritoneal dialysis, the major home-based form of kidney-replacement therapy. This review aims to fill knowledge gaps of non-experts in peritoneal dialysis and to highlight key management aspects of in-hospital care of patients on peritoneal dialysis, with a focus on acute scenarios to facilitate prompt decision-making. The clinical pearls provided should enable non-nephrologists to avoid common pitfalls in the initial assessment of peritoneal dialysis-related complications and guide their decision regarding when to refer their patients to a specialist, resulting in improved multidisciplinary patient care.

Keywords: Complications; Non-nephrologists; Peritoneal dialysis.

Publication types

  • Review

MeSH terms

  • Disease Management
  • Humans
  • Peritoneal Dialysis / methods*
  • Peritoneal Dialysis / trends
  • Renal Insufficiency, Chronic / physiopathology
  • Renal Insufficiency, Chronic / therapy