{"id":2904,"date":"2018-10-17T19:08:23","date_gmt":"2018-10-17T17:08:23","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/only-opt-for-chronic-dialysis-after-a-decision-making-process-has-been-conducted-jointly-with-patients-their-families-and-their-family-physicians\/"},"modified":"2019-10-02T10:17:28","modified_gmt":"2019-10-02T08:17:28","slug":"only-opt-for-chronic-dialysis-after-a-decision-making-process-has-been-conducted-jointly-with-patients-their-families-and-their-family-physicians","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/only-opt-for-chronic-dialysis-after-a-decision-making-process-has-been-conducted-jointly-with-patients-their-families-and-their-family-physicians\/","title":{"rendered":"Only opt for chronic dialysis after a decision-making process has been conducted jointly with patients, their families, and their family physicians."},"content":{"rendered":"<p>Hemodialysis is a challenging treatment, not only for patients, but also for their families. Adult patients\u2019 continuous absences from work, and pediatric patients\u2019 absences from school are already an important factor limiting their normal life. For elderly patients, members of the family often have to find time, among their other engagements, to cope with transporting patients to and from the dialysis unit, and so on. Peritoneal dialysis is a more appropriate choice for children, and for young adults of working age who are married or living with a stable partner. It has the advantage of being performed at the patient&#8217;s home (so does home-based hemodialysis, but the latter is still not widely available in our country). Of course, having to spend every night on peritoneal dialysis has a severely limiting effect on a patient\u2019s social life, and is therefore sometimes not appreciated by adolescents or adults. In any case, given its considerable impact on the quality of life of patients and their families, the choice between the different types of dialysis should not be dictated by medical issues alone. It should also take into account the lifestyle, age and habits of the patient and his\/her family.<\/p>\n","protected":false},"featured_media":2389,"template":"","meta":{"_edit_lock":["1570004133:5"],"_yst_prominent_words_version":["1"],"_edit_last":["5"],"_thumbnail_id":["2389"],"_wpml_word_count":["{\"total\":298,\"to_translate\":{\"it\":298}}"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["117"],"_yoast_wpseo_primary_tipologia":[""],"wpcf-pacchetto":["SIN-Nephrology #1"],"wpcf-bibliografia":["1. 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