What are some disadvantages of peritoneal dialysis for older adults?

Abdominal and catheter leaks are indeed a notable disadvantage of peritoneal dialysis, particularly for older adults. As individuals age, their abdominal wall may become less elastic and more susceptible to complications. These leaks can lead to infections, decreased efficacy of dialysis, and complications that may require additional medical interventions.

While other choices may reflect potential issues associated with peritoneal dialysis, they do not consistently highlight specific disadvantages linked to the aging population as effectively as abdominal and catheter leaks. For instance, while hernias can develop and pain might occur, these issues are not as predictably linked to the age-related physiological changes as leaks. Additionally, dementia is a complex issue that may not be directly induced by the dialysis process itself but rather by the overall health decline that some older adults face. In contrast, the mechanical nature of peritoneal dialysis introduces direct risks to the integrity of the abdominal region, making abdominal and catheter leaks a more immediate concern for this demographic.