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Review
. 2013 May-Jun;33(3):233-41.
doi: 10.3747/pdi.2012.00119.

Peritoneal dialysis and the process of modality selection

Peter G Blake  1 , Robert R Quinn, Matthew J Oliver
Affiliations
Review

Peritoneal dialysis and the process of modality selection

Peter G Blake et al. Perit Dial Int. 2013 May-Jun.

Abstract

The process of modality selection and how it works is a critical determinant of peritoneal dialysis (PD) utilization. This very complex process has not been well analyzed. Here, we break it down into 6 steps and point out how problems at each step can significantly reduce the proportion of endstage renal disease patients initiating PD. It is important that any program wishing it to grow its use of PD understand the steps and the points at which problems may be arising. Examples are presented.

Keywords: Chronic kidney disease; modality selection.

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Figures

Figure 1
Figure 1
— Pathway to peritoneal dialysis (PD) for the patient.
Figure 2
Figure 2
— (A-G) Comparison of pathways to peritoneal dialysis (PD) in 7 theoretical centers. For each center, the column to the right shows how 100 patients in the particular program might progress through the 6 steps.
See this image and copyright information in PMC

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