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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| Published in: | American journal of kidney diseases Vol. 74; no. 1; p. 101 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
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United States
01.07.2019
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| ISSN: | 1523-6838, 1523-6838 |
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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. |
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| 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 – sequence: 3 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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| Copyright | Copyright © 2019 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved. |
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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 |
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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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