Would you recommend temporary transition to hemodialysis in a peritoneal dialysis patient who has risk factors, such as recurrent peritonitis, for the development of encapsulating peritoneal sclerosis?

Would you recommend temporarily transitioning to hemodialysis in a peritoneal dialysis patient with risk factors for encapsulating peritoneal sclerosis, such as recurrent peritonitis?

• Yes, I would recommend transitioning to hemodialysis in patients with recurrent peritonitis to reduce ongoing peritoneal membrane injury
• Yes, but only if there is also evidence of peritoneal membrane dysfunction such as ultrafiltration failure or high transport status
• No, I would optimize peritonitis prevention and treatment strategies before considering a modality change
• No, the evidence supporting transition to hemodialysis for EPS risk reduction is insufficient to justify the disruption to the patient
• Other