Table 4.
Comparison of PD and HD in different aspects during COVID-like pandemic or epidemic (based on Chen et al. [64] and other information sources) [56, 65, 66, 67, 68]
Aspects | PD | HD |
---|---|---|
Logistical | ||
| ||
Travel | Ease of travel; flexibility in schedule | HD units may not be accessible |
| ||
Contact | Physicians conduct telemedicine consultations; close contact with healthcare workers is not necessary | Close contact with healthcare workers is needed during needle puncture process |
| ||
Cluster | PD can be done at home, thereby minimizing the risk of disease clusters | Need for frequent HD unit visits and patient clustering increase the risk of virus spreading |
| ||
Resources | ||
| ||
Medical resources | Low risk of PD solution shortage | Need many healthcare workers, protective equipment, clean water, and dialysis machines, which may be lacking in a COVID-like pandemic or epidemic |
| ||
HCP resources | No need for healthcare workers | Healthcare workers may be reduced due to illness or quarantine, resulting in a shortage in the workforce |
| ||
Cost effectiveness | More cost effective/saving than HD in many countries [56, 65, 66, 67, 68] (data available on a country-by-country basis) while providing similar outcomes |
HCP, healthcare provider; HD, hemodialysis; PD, peritoneal dialysis.