This guideline covers peritoneal dialysis for people with stage 5 chronic kidney disease. It explains when peritoneal dialysis is an option, when to switch to a different method of dialysis, and what information people need to make an informed choice on which dialysis method is right for them.


This guideline includes recommendations on:

Who is it for?

  • Healthcare professionals
  • Commissioners and providers
  • People with stage 5 chronic kidney disease and their families and carers

Guideline development process

How we develop NICE guidelines

Is this guideline up to date?

This guideline will be updated and incorporated into the new renal replacement therapy guideline which is currently in development. See the guideline in development page for progress on the development of the new guideline.

This guideline was previously called peritoneal dialysis: peritoneal dialysis in the treatment of stage 5 chronic kidney disease.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.

Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

  • National Institute for Health and Care Excellence (NICE)