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Review
. 2023 Jul 25;8(10):1917-1923.
doi: 10.1016/j.ekir.2023.07.012. eCollection 2023 Oct.

Why are we Not Getting More Patients onto Peritoneal Dialysis? Observations From the United States with Global Implications

Isaac Teitelbaum  1 , Frederic O Finkelstein  2
Affiliations
Review

Why are we Not Getting More Patients onto Peritoneal Dialysis? Observations From the United States with Global Implications

Isaac Teitelbaum et al. Kidney Int Rep. .

Abstract

Peritoneal dialysis (PD) offers lifestyle advantages over in-center hemodialysis (HD) and is less costly. However, in the United States, less than 12% of end-stage kidney disease (ESKD) patients are maintained on this modality. In this brief review, we discuss some of the factors underlying the low prevalence of PD. These include inadequate patient education, a shortage of sufficiently well-trained medical and nursing personnel, absence of infrastructure to support urgent start PD, and lack of support for assisted PD, among other factors. Understanding and addressing these various issues may help increase the prevalence of PD in the United States and globally.

Keywords: assisted PD; barriers to PD; home dialysis; incremental PD; peritoneal dialysis; prevalence.

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References

    1. Bonenkamp A.A., van Eck van der Sluijs A., Hoekstra T., et al. Health-related quality of life in home dialysis patients compared to in-center hemodialysis patients: a systematic review and meta-analysis. Kidney Med. 2020;2:139–154. doi: 10.1016/j.xkme.2019.11.005. - DOI - PMC - PubMed
    1. Brown E.A., Zhao J., McCullough K., et al. Burden of kidney disease, health-related quality of life, and employment among patients receiving peritoneal dialysis and in-center hemodialysis: findings from the DOPPS program. Am J Kidney Dis. 2021;78:489–500.e1. doi: 10.1053/j.ajkd.2021.02.327. - DOI - PubMed
    1. Ferguson T.W., Whitlock R.H., Bamforth R.J., et al. Cost-utility of dialysis in Canada: hemodialysis, peritoneal dialysis, and nondialysis treatment of kidney failure. Kidney Med. 2021;3:20–30.e1. doi: 10.1016/j.xkme.2020.07.011. - DOI - PMC - PubMed
    1. Karopadi A.N., Mason G., Rettore E., Ronco C. Cost of peritoneal dialysis and haemodialysis across the world. Nephrol Dial Transplant. 2013;28:2553–2569. doi: 10.1093/ndt/gft214. - DOI - PubMed
    1. Register Federal. Advancing American Kidney Health. Executive Office. 2019

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