Abstract
The number of elderly patients with end-stage renal disease is growing. The modality choice in this group of patients is difficult.
Majority of elderly will not be candidates for transplantation. The choice is between non-dialysis treatment, hemodialysis and peritoneal dialysis.
The initiation of dialysis therapy is often met with a decline in functional ability and quality of life. The modality choice should be carried out as shared decision making ethically framed.
Clinical scoring systems to predict outcomes are available. The implementation of assisted peritoneal dialysis can improve quality of life and reduce the treatment intrusion in the elderly patients.