There are three main forms of treatment for kidney disease:
Kidney transplantation is a renal replacement therapy where a healthy kidney from another person is placed into the patient’s body. The scarcity of donors and difficulties in obtaining a match limits the number of patients who can receive a kidney transplant. The organ transplantation programme in Malaysia is still heavily dependent on living-related donors for kidney and liver transplantation.
Thus, most patients with kidney disease require haemodialysis (HD) or peritoneal dialysis (PD). In Malaysia among the end stage kidney patients that are on treatment, HD is the most common form of dialysis. However, this does not necessarily mean that it is the best treatment. Both HD and PD are effective treatments, but the choice of treatment depends on the patient's medical history, whether they are suffering from any other condition, their lifestyle requirements and other factors.
Doctors would take into account the health of the patient and the presence of any other existing medical condition to determine whether a patient is put on HD or PD. For example, PD would be the recommended option for patients with vascular problems as HD would then not be suitable.