What is the treatment of choice for older adults requiring maintenance dialysis?

The treatment of choice for older adults requiring maintenance dialysis is kidney transplantation. This option is often preferred due to its potential to improve quality of life significantly compared to dialysis. Transplantation can offer a more permanent solution to end-stage renal disease (ESRD) by restoring kidney function, which can minimize the complications and limitations imposed by dialysis procedures.

While hemodialysis and peritoneal dialysis are viable options for managing ESRD, they can be burdensome, especially for older adults who may face additional health challenges. These therapies typically require regular and frequent visits (for hemodialysis) or substantial adjustments to daily living (for peritoneal dialysis). Conversely, a successful kidney transplant can eliminate the need for ongoing dialysis and improve overall health outcomes.

Moreover, kidney transplantation addresses the underlying issue of kidney failure, whereas dialysis serves only as a means of treatment. While renal replacement therapy is a general term that includes both dialysis and transplantation, choosing kidney transplantation specifically represents a long-term resolution for patients who are suitable candidates for the procedure.

In summary, kidney transplantation is the preferred treatment for older adults on maintenance dialysis due to its lasting impacts on health, independence, and life expectancy.