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

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 ¹.

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 ¹.

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 ¹.