Peritoneal Dialysis Use and Practice Patterns: An International Survey Study

Cho, Yeoungjee; Bello, Aminu K.; Levin, Adeera; Lunney, Meaghan; Osman, Mohamed A.; Ye, Feng; Ashuntantang, Gloria; Bellorín-Font, Ezequiel; Gharbi, Mohammed Benghanem; Davison, Sara N.; Ghnaimat, Mohammad; Harden, Paul; Htay, Htay; Jha, Vivekanand; Kalantar-Zadeh, Kamyar; Kerr, Peter G.; Klarenbach, Scott; Kövesdy, Csaba P.; Luyckx, Valérie A.; Neuen, Brendon L.; O’Donoghue, Dónal; Ossareh, Shahrzad; Perl, Jeffrey; Rashid, Harun Ur; Rondeau, Éric; See, Emily J; Saad, Syed; Solá, Laura; Tchokhonelidze, Irma; Tesař, Vladimı́r; Tungsanga, Kriang; Kazancıoğlu, Rümeyza; Wang, Angela Yee-Moon; Yang, Chih‐Wei; Zemchenkov, Alexander; Zhao, Ming‐Hui; Jager, Kitty J.; Caskey, Fergus; Jindal, Kailash; Okpechi, Ikechi G.; Tonelli, Marcello; Harris, David C.H.; Johnson, David W.

doi:10.1053/j.ajkd.2020.05.032

Cited by 83 publications

(81 citation statements)

References 30 publications

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“…Approximately 5 to 10 million people die due to a lack of access to kidney replacement therapy (KRT-dialysis or kidney transplantation) or acute kidney injury every year and there is extreme disparities in the provision of KRT around the world. 1 SA and a large part of SEA despite representing a majority of the global population lie below the global standards in terms of economy and standards of living. All SA countries in our study belong to either low-income (LI) or lower-middle-income (LMI) group.…”

Section: Introductionmentioning

confidence: 99%

Peritoneal dialysis: Status report in South and South East Asia

et al. 2021

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Background: Peritoneal dialysis (PD) as a modality of kidney replacement therapy (KRT) is largely underutilized globally. We analyzed PD utilization, impact of economic status, projected growth and impact of state policy(s) on PD growth in South Asia and Southeast Asia (SA&SEA) region. Methods: The National Nephrology Societies of the region responded to a questionnaire on KRT practices. The responses were based on the latest registry data, acceptable community-based studies and societal perceptions. The representative countries were divided into high income and higher-middle income (HI & HMI) and low income and lower-middle income (LI & LMI) groups. Results: Data provided by 15 countries showed almost similar percentage of GDP as health expenditure (4%-7%). But there was a significant difference in per capita income (HI & HMI -US$ 28 129 vs. LI & LMI -US$ 1710.2) between the groups. Even after having no significant difference in monthly cost of haemodialysis (HD) and PD in LI & LMI countries, they have poorer PD utilization as compared to HI & HMI countries (3.4% vs. 10.1%); the reason being lack of formal training/incentives and time constraints for the nephrologist while lack of reimbursement and poor general awareness of modalities has been a snag for the patients. The region expects ≥10% PD growth in the near future. Hong Kong and Thailand with 'PD first' policy have the highest PD utilization. Conclusion: Important deterrents to PD underutilization were lack of PD centric policies, lackadaisical patient/physician's attitude, lack of structured patient awareness programs, formal training programs and affordability.

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Section: Introductionmentioning

confidence: 99%

Peritoneal dialysis: Status report in South and South East Asia

et al. 2021

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“…Nevertheless, PD is used less than expected and prevalence is low worldwide, around 11%. 3 This is because socioeconomic consideration, such as reimbursement policy, and staff confidence with PD influence the selection of dialysis modality and, in most of the cases, the patient's preference is not fully investigated. 4 When PD is chosen and timely started, many clinicians opt for incremental manual peritoneal dialysis with one or two exchanges a day, switching to APD when an increase in PD dose becomes necessary, in order to preserve dialysis-free daytime, while others start directly with nightly APD (NIPD).…”

Section: Introductionmentioning

confidence: 99%

Automated Peritoneal Dialysis: Patient Perspectives and Outcomes

Domenici¹,

Giuliani²

2021

IJNRD

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A steadily increasing number of end stage kidney disease (ESKD) patients are maintained on automated peritoneal dialysis (APD) worldwide, in long-standing as well as in more recently established peritoneal dialysis (PD) programs. A better understanding of the technique, paralleled by progress in involved technology, sustained this growth to the point that APD has become the prevalent mode of PD delivery in most high-income countries. While APD is now regarded to be at least as efficient as continuous ambulatory peritoneal dialysis (CAPD) with regard to major biomedical outcomes, its impact on patient-reported outcomes has been less investigated. This paper reviews the main outcomes of APD from a clinical point of view and from the person on dialysis perspective.

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“…The prevalence of long-term dialysis is increasing worldwide [1]. In recent years, a concept of renal rehabilitation has been widely known among nephrology specialists, dialysis specialists, kidney transplantation specialists, rehabilitation specialists, nutrition specialists, guideline specialists, nurses, physiotherapists, and representatives of patients [2].…”

Section: Introductionmentioning

confidence: 99%

Real-Time Monitoring and Reminding of Remote Peritoneal Dialysis System Based on the Principle of Least Squares

Wu¹,

Z²,

Pí³

et al. 2021

Int J Nephrol Kidney Fail

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Peritoneal dialysis has been widely studied and applied for kidney disease because of its low cost and easy operation. Given the development of chronic kidney disease worldwide, peritoneal dialysis has attracted more and more attention. At the same time, with the development and popularization of mobile network technology, mobile telematics has begun to become a mainstream trend. By integrating the experience of clinicians, the remote diagnosis and treatment system of the peritoneal dialysis developed by Shenzhen Traditional Chinese Medicine Hospital can monitor the entire peritoneal dialysis data of patients. The peritoneal dialysis data were analyzed by statistical methods. In this paper, we designed a data acquisition device with Bluetooth transmission protocol and a user APP to collect peritoneal dialysis data from experimental patients, and built a regression model based on the least square principle according to the clinical data of real patients. Through the model, abnormal or discrete points can be identified in real time. In clinical practice, by analyzing the possible medical risks and adverse events of patients according to the abnormal points, we realize the function of prediction and early reminding. The system indicates the results to patients according to the confidence interval of regression prediction, which greatly strengthens the interaction of the system and improves patient compliance.

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Peritoneal Dialysis Use and Practice Patterns: An International Survey Study

Abstract: Rationale & Objective: Approximately 11% of people with kidney failure worldwide are treated with peritoneal dialysis (PD). This study examined PD use and practice patterns across the globe.

Cited by 83 publications

References 30 publications

Peritoneal dialysis: Status report in South and South East Asia

Peritoneal dialysis: Status report in South and South East Asia

Automated Peritoneal Dialysis: Patient Perspectives and Outcomes

Real-Time Monitoring and Reminding of Remote Peritoneal Dialysis System Based on the Principle of Least Squares

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