International Variations in Peritoneal Dialysis Utilization and Implications for Practice

In many countries, the use of peritoneal dialysis (PD) remains low despite arguments that support its greater use, including dialysis treatment away from hospital settings, avoidance of central venous catheters, and potential health economic advantages. Training patients to manage aspects of their o...

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Vydané v:American journal of kidney diseases Ročník 74; číslo 1; s. 101
Hlavní autori: Briggs, Victoria, Davies, Simon, Wilkie, Martin
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.07.2019
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Abstract In many countries, the use of peritoneal dialysis (PD) remains low despite arguments that support its greater use, including dialysis treatment away from hospital settings, avoidance of central venous catheters, and potential health economic advantages. Training patients to manage aspects of their own care has the potential to enhance health literacy and increase patient involvement, independence, quality of life, and cost-effectiveness of care. Complex reasons underlie the variable use of PD across the world, acting at the level of the patient, the health care team that is responsible for them, and the health care system that they find themselves in. Important among these is the availability of competitively priced dialysis fluid. A number of key interventions can affect the uptake of PD. These include high-quality patient education around dialysis modality choice, timely and successful catheter placement, satisfactory patient training, and continued support that is tailored for specific needs, for example, when people present late requiring dialysis. Several health system changes have been shown to increase PD use, such as targeted funding, PD First initiatives, or physician-inserted PD catheters. This review explores the factors that explain the considerable international variation in the use of PD and presents interventions that can potentially affect them.
AbstractList In many countries, the use of peritoneal dialysis (PD) remains low despite arguments that support its greater use, including dialysis treatment away from hospital settings, avoidance of central venous catheters, and potential health economic advantages. Training patients to manage aspects of their own care has the potential to enhance health literacy and increase patient involvement, independence, quality of life, and cost-effectiveness of care. Complex reasons underlie the variable use of PD across the world, acting at the level of the patient, the health care team that is responsible for them, and the health care system that they find themselves in. Important among these is the availability of competitively priced dialysis fluid. A number of key interventions can affect the uptake of PD. These include high-quality patient education around dialysis modality choice, timely and successful catheter placement, satisfactory patient training, and continued support that is tailored for specific needs, for example, when people present late requiring dialysis. Several health system changes have been shown to increase PD use, such as targeted funding, PD First initiatives, or physician-inserted PD catheters. This review explores the factors that explain the considerable international variation in the use of PD and presents interventions that can potentially affect them.In many countries, the use of peritoneal dialysis (PD) remains low despite arguments that support its greater use, including dialysis treatment away from hospital settings, avoidance of central venous catheters, and potential health economic advantages. Training patients to manage aspects of their own care has the potential to enhance health literacy and increase patient involvement, independence, quality of life, and cost-effectiveness of care. Complex reasons underlie the variable use of PD across the world, acting at the level of the patient, the health care team that is responsible for them, and the health care system that they find themselves in. Important among these is the availability of competitively priced dialysis fluid. A number of key interventions can affect the uptake of PD. These include high-quality patient education around dialysis modality choice, timely and successful catheter placement, satisfactory patient training, and continued support that is tailored for specific needs, for example, when people present late requiring dialysis. Several health system changes have been shown to increase PD use, such as targeted funding, PD First initiatives, or physician-inserted PD catheters. This review explores the factors that explain the considerable international variation in the use of PD and presents interventions that can potentially affect them.
In many countries, the use of peritoneal dialysis (PD) remains low despite arguments that support its greater use, including dialysis treatment away from hospital settings, avoidance of central venous catheters, and potential health economic advantages. Training patients to manage aspects of their own care has the potential to enhance health literacy and increase patient involvement, independence, quality of life, and cost-effectiveness of care. Complex reasons underlie the variable use of PD across the world, acting at the level of the patient, the health care team that is responsible for them, and the health care system that they find themselves in. Important among these is the availability of competitively priced dialysis fluid. A number of key interventions can affect the uptake of PD. These include high-quality patient education around dialysis modality choice, timely and successful catheter placement, satisfactory patient training, and continued support that is tailored for specific needs, for example, when people present late requiring dialysis. Several health system changes have been shown to increase PD use, such as targeted funding, PD First initiatives, or physician-inserted PD catheters. This review explores the factors that explain the considerable international variation in the use of PD and presents interventions that can potentially affect them.
Author Briggs, Victoria
Wilkie, Martin
Davies, Simon
Author_xml – sequence: 1
  givenname: Victoria
  surname: Briggs
  fullname: Briggs, Victoria
  organization: University of Sheffield, Sheffield, United Kingdom
– sequence: 2
  givenname: Simon
  surname: Davies
  fullname: Davies, Simon
  organization: University of Keele, Keele, United Kingdom
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  givenname: Martin
  surname: Wilkie
  fullname: Wilkie, Martin
  email: martin.wilkie@sth.nhs.uk
  organization: Sheffield Kidney Institute, Sheffield Teaching Hospital NHS Foundation Trust, Sheffield, United Kingdom. Electronic address: martin.wilkie@sth.nhs.uk
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30799030$$D View this record in MEDLINE/PubMed
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Keywords modality selection
Index Words: Peritoneal dialysis (PD)
PD First
health care policy
international comparisons
health care costs
catheter placement
infectious complications
dialysis modality
end-stage renal disease (ESRD)
urgent-start PD
kidney replacement therapy (KRT)
health care reimbursement
technique failure
Language English
License Copyright © 2019 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
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Snippet In many countries, the use of peritoneal dialysis (PD) remains low despite arguments that support its greater use, including dialysis treatment away from...
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SubjectTerms Humans
Internationality
Kidney Failure, Chronic - epidemiology
Kidney Failure, Chronic - therapy
Peritoneal Dialysis - adverse effects
Peritoneal Dialysis - economics
Peritoneal Dialysis - methods
Peritoneal Dialysis - psychology
Procedures and Techniques Utilization - statistics & numerical data
Quality of Life
Title International Variations in Peritoneal Dialysis Utilization and Implications for Practice
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