Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Nephrol. Jan 21, 2019; 8(1): 1-10
Published online Jan 21, 2019. doi: 10.5527/wjn.v8.i1.1
Choice of dialysis modality prior to kidney transplantation: Does it matter?
Deepika Jain, Danny B Haddad, Narender Goel
Deepika Jain, Danny B Haddad, Narender Goel, Nephrology and Internal Medicine, New Jersey Kidney Care, Jersey city, NJ 07305, United States
Danny B Haddad, Department of Internal Medicine, Division of Nephrology, RWJ-Jersey City Medical Center, Jersey city, NJ 07305, United States
Author contributions: All authors have contributed equally to the paper. Goel N and Haddad DB have reviewed literature over various topics discussed in this review paper.
Conflict-of-interest statement: The author declares no conflicts of interest regarding this paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Deepika Jain, MD, Attending Doctor, Department of Nephrology, New Jersey Kidney Care, 26 Greenville Avenue, suite 1, Jersey city, NJ 07305, United States.
Telephone: +1-201-3338222 Fax: +1-201-3330095
Received: September 26, 2018
Peer-review started: September 26, 2018
First decision: October 15, 2018
Revised: November 5, 2018
Accepted: January 9, 2019
Article in press: January 9, 2019
Published online: January 21, 2019

The population of patients with end stage renal disease (ESRD) is increasing, lengthening waiting lists for kidney transplantation. Majority of the patients are not able to receive a kidney transplant in timely manner even though it is well established that patient survival and quality of life after kidney transplantation is far better when compared to being on dialysis. A large number of patients who desire a kidney transplant ultimately end up needing some form of dialysis therapy. Most of incident ESRD patients choose hemodialysis (HD) over peritoneal dialysis (PD) as the modality of choice in the United States, even though studies have favored PD as a better choice of pre-transplant dialysis modality than HD. PD is largely underutilized in the United States due to variety of reasons. As a part of the decision making process, patients are often educated how the choice regarding modality of dialysis would fit into their life but it is not clear and not usually discussed, how it can affect eventual kidney transplantation in the future. In this article we would like to discuss ESRD demographics and outcomes, modality of dialysis and kidney transplant related events. We have summarized the data comparing PD and HD as the modality of dialysis and its impact on allograft and recipient outcomes after kidney transplantation.

Keywords: Dialysis, Kidney transplant, Outcomes, Peritoneal dialysis, Health literacy

Core tip: Patients with end stage renal failure need some form of dialysis therapy as a bridge while they wait for kidney transplantation. In this paper we discuss if dialysis modality pre transplantation has any impact on transplant related outcomes.