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Dialysis Modality Choice — ESENeph MCQ

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EasyPeritoneal DialysisDialysis Modality ChoiceESENeph

A 54-year-old man with CKD G4 (eGFR 18 mL/min/1.73m2) is referred for dialysis planning. He is well-informed and wishes to remain independent. He works from home and travels frequently. He has no significant cardiac history, good manual dexterity, and lives alone. Which modality should be discussed as potentially most appropriate?

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Correct answer: D — Home peritoneal dialysis

NICE NG107 and UKKA guidelines recommend offering all eligible patients the choice of dialysis modality. Given this patient's desire for independence, travel, work-from-home lifestyle, and good dexterity, peritoneal dialysis (particularly APD) would support his lifestyle goals well. All modalities should be discussed, but PD aligns best with his stated preferences. Home haemodialysis is also reasonable but requires more infrastructure.

Reference: NICE NG107 2018 – Renal Replacement Therapy; UKKA 2019 – Peritoneal Dialysis Guideline