How do I assess whether a patient is suitable for peritoneal dialysis versus haemodialysis?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed

Assess suitability for peritoneal dialysis by discussing with the patient the risk and benefits of the different types of dialysis access, such as peritoneal dialysis catheter placement, ideally around 2 weeks before dialysis start, and consider the patient's ability to manage the treatment at home, including space and facilities suitability .

Evaluate for haemodialysis suitability by considering the creation of an arteriovenous fistula around 6 months before anticipated start to allow for maturation, and assess vascular access sites using ultrasound scanning .

Consider the patient's overall health, cognitive ability, social support, and capacity for self-care, as well as their preferences, when determining suitability for either modality .

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