apples walking checkup

As of September 22, 2014, the NIDDK Clearinghouses Publication Catalog and Image Library sites will be unavailable until further notice.
Although you will not be able to order publications, you can view, download, and print them by using the links below.
For urgent matters, please send an email to



Peritoneal Dialysis

Kidney Transplantation

In Center
Three treatments a week for 3 to 5 hours or more.
More flexibility in determining your schedule of treatments.
Four to six exchanges a day, every day.
Three to five exchanges a night, every night, with an additional exchange begun first thing in the morning.
You may wait several years before a suitable kidney is available.
If a friend or family member is donating, you can schedule the operation when you're both ready.
After the operation, you'll have regular checkups with your doctor.
Dialysis center.
Any clean environment that allows solution exchanges.
The transplant operation takes place in a hospital.
Available in most communities; may require travel in some rural areas.
Generally available, but not widely used because of equipment requirements.
Widely available.
Widely available.
Transplant centers are located throughout the country. However, the demand for kidneys is far greater than the supply.
and Supplies
No equipment or supplies in the home.
Hemodialysis machine connected to plumbing; chair.
Bags of dialysis solution take up storage space.
Cycling machine; bags of dialysis solution.
No equipment or supplies needed.
Training Required
Little training required; clinic staff perform most tasks.
You and a helper must attend several training sessions.
You'll need to attend several training sessions.
You'll need to learn about your medications and when to take them.
Must limit fluids, sodium, potassium, and phosphorus.
Must limit sodium and calories.
Fewer dietary restrictions.
Level of Freedom
Little freedom during treatments. Greater freedom on nontreatment days.
More freedom to set your own schedule. You're still linked to a machine for several hours a week.
You can move around, exercise, work, drive, etc., with solution in your abdomen.
You're linked to a machine during the night. You're free from exchanges during the day.
Offers the greatest amount of freedom.
Level of Responsibility
Some patients prefer to let clinic staff perform all tasks.
You and your helper are responsible for cleaning and setting up equipment and monitoring vital signs. Can be stressful on family helpers.
You must perform exchanges four to six times a day, every day.
You must set up your cycler every night.
You must take immunosuppressants every day for as long as the transplanted kidney functions.

The NKUDIC Clearinghouse is a service of the National Institue of Diabetes and Digestive and Kidney Diseases, NIH

Page last updated: September 2, 2010


The National Kidney and Urologic Diseases Information Clearinghouse is a service of the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health.

National Kidney and Urologic Diseases Information Clearinghouse
3 Information Way
Bethesda, MD 20892–3580
Phone: 1–800–891–5390
TTY: 1–866–569–1162
Fax: 703–738–4929

Department of Health and Human Services The National Institute of Diabetes and Digestive and Kidney Diseases is the U.S. government's official web portal to all federal, state, and local government web resources and services. This website is certified by Health On the Net Foundation. Click to verify.

NIH...Turning Discovery Into Health ®

Privacy Statement | Disclaimers | Accessibility | PDF versions require the free Acrobat Reader click to view disclaimer page software for viewing.