Outcomes in Older Adults With Stage 5 Chronic Kidney Disease: Comparison of Peritoneal Dialysis and Conservative Management

p = .03), and no increased risk of institutionalization compared with the conservative group. Age (hazard ratio [HR] for 1-year increase 1.06, 95% confidence interval [CI] 1.02–1.10), modified Charlson’s Comorbidity Index (HR 1.36, 95% CI 1.18–1.56), impairment in basic activities of daily living (HR 2.11, 95% CI 1.28–3.46), and emergency dialysis (HR 1.67, 95% CI 1.11–2.53) were independent predictors of mortality in the PD group. Conclusion. PD is a viable treatment option in older adults with stage 5 chronic kidney disease. Age alone should not preclude dialysis. Comprehensive geriatric assessment can prognosticate and facilitate shared decision making to commence dialysis in older adults.