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Title: Peritoneal Dialysis Use and Practice Patterns: An International Survey Study.
Austin Authors: Cho, Yeoungjee;Bello, Aminu K;Levin, Adeera;Lunney, Meaghan;Osman, Mohamed A;Ye, Feng;Ashuntantang, Gloria E;Bellorin-Font, Ezequiel;Gharbi, Mohammed Benghanem;Davison, Sara N;Ghnaimat, Mohammad;Harden, Paul;Htay, Htay;Jha, Vivekanand;Kalantar-Zadeh, Kamyar;Kerr, Peter G;Klarenbach, Scott;Kovesdy, Csaba P;Luyckx, Valerie;Neuen, Brendon;O'Donoghue, Donal;Ossareh, Shahrzad;Perl, Jeffrey;Rashid, Harun Ur;Rondeau, Eric;See, Emily J ;Saad, Syed;Sola, Laura;Tchokhonelidze, Irma;Tesar, Vladimir;Tungsanga, Kriang;Kazancioglu, Rumeyza Turan;Yee-Moon Wang, Angela;Yang, Chih-Wei;Zemchenkov, Alexander;Zhao, Ming-Hui;Jager, Kitty J;Caskey, Fergus J;Jindal, Kailash K;Okpechi, Ikechi G;Tonelli, Marcello;Harris, David C;Johnson, David W
Affiliation: Intensive Care Nephrology and Transplantation Department, Hopital Tenon, Assistance Publique-Hopitaux de Paris, Paris, France; Sorbonne Université, Paris, France
Centre for Kidney Disease Research, University of Queensland, Brisbane, Australia
Population Health Sciences, University of Bristol, Bristol, UK
Renal Unit, Southmead Hospital, North Bristol NHS Trust, Bristol, UK
Institute of Biomedical Ethics and the History of Medicine, University of Zurich, Zurich, Switzerland
Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
Salford Royal NHS Foundation Trust, Salford, UK
University of Manchester, Manchester, UK
George Institute for Global Health, UNSW, New Delhi, India; George Institute for Global Health, University of Oxford, Oxford, UK
Manipal Academy of Higher Education, Manipal, India..
Pan-American Health Organization/World Health Organization's Collaborating Centre in Prevention and Control of Chronic Kidney Disease, University of Calgary, Calgary, Alberta, Canada; University of Leicester, Leicester, UK
Oxford Kidney Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China; Key Lab of Renal Disease, Ministry of Health of China, Beijing, China; Key Lab of Chronic Kidney Disease Prevention and Treatment, Ministry of Education of China; Beijing, China; Peking-Tsinghua Center for Life Sciences (CLS), Beijing, China
Translational Research Institute, Brisbane, Australia
University of Tennessee Health Science Center, Memphis, Tennessee, USA
Division of Nephrology and Hypertension, University of California Irvine Medical Center, Orange, California, USA
Division of Nephology and Hypertension, Department of Medicine, Saint Louis University, Saint Louis, Missouri, USA
Metro South and Ipswich Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Australia
Department of Nephrology, Monash Medical Centre, Monash Health, Clayton, Victoria, Australia
Metro South and Ipswich Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Australia
Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
Division of Nephrology, St. Michael's Hospital and the Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Nephrology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Division of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
Centre for Transplantation and Renal Research, Westmead Institute for Medical Research, University of Sydney, Sydney, New South Wales, Australia
Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa; Department of Medicine, University of Calgary, Calgary, Alberta, Canada
Department of Medicine, Monash University, Clayton, Victoria, Australia
Intensive Care
School of Medicine, University of Melbourne, Melbourne, Australia
Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde I, Yaounde, Cameroon..
Urinary Tract Diseases Department, Faculty of Medicine and Pharmacy of Casablanca, University Hassan II of Casablanca, Casablanca, Morocco..
Nephrology Division, Department of Internal Medicine, The Specialty Hospital, Amman, Jordan..
Department of Renal Medicine, Singapore General Hospital, Singapore..
George Institute for Global Health, UNSW, New Delhi, India..
Division of Nephrology, Department of Medicine, Hasheminejad Kidney Center, Iran University of Medical Sciences, Tehran, Iran..
Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh..
Dialysis Unit, CASMU-IAMPP, Montevideo, Uruguay..
Nephrology Development Clinical Center, Tbilisi State Medical University, Tbilisi, Georgia..
Department of Nephrology, General University Hospital, Charles University, Prague, Czech Republic..
Department of Medicine, Faculty of Medicine, King Chulalong Memorial Hospital, Chulalongkorn University, Bangkok, Thailand; Bhumirajanagarindra Kidney Institute, Bangkok, Thailand..
Division of Nephrology, Bezmialem Vakif University, Istanbul, Turkey..
Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong..
Kidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan..
Department of Internal Disease and Nephrology, North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia; Department of Nephrology and Dialysis, Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russi..
ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, the Netherlands..
Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa..
Issue Date: Mar-2021 2020-08-12
Publication information: American Journal of Kidney Diseases 2021; 77(3): 315-325
Abstract: 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. A cross-sectional survey. Stakeholders including clinicians, policymakers, and patient representatives in 182 countries convened by the International Society of Nephrology (ISN) between July and September 2018. PD use, availability, accessibility, affordability, delivery and reporting of quality outcome measures. Descriptive statistics RESULTS: Responses were received from 160 (88%) countries; 313 participants (nephrologist n=257 [82%], non-nephrologist physician n=22 [7%], other health professional n=6 [2%], administrator/policy maker/civil servant n=17 [5%], other n=11 [4%]); from 156 (86%) countries responded to questions about PD. Median PD use was 38.1 per million population. PD was not available in 30 countries (19%), particularly in Africa (20/41) and other low-income (15/22) countries. In 69% of countries, PD was the initial dialysis modality for ≤10% of patients with newly diagnosed kidney failure. Patients receiving PD were expected to pay 1-25% of treatment costs and higher (>75%) co-payments were more common in South Asia and low-income countries. Average exchange volumes were adequate (defined as 3-4 exchanges/day or equivalent on automated PD) in 72% of countries. PD quality outcome monitoring and reporting were variable. Most countries did not measure patient-reported PD outcomes. Low responses from policymakers; limited ability to provide more in-depth explanations underpinning outcomes from each country due to lack of granular data; lack of objective data. Large inter- and intra-regional disparities exist in PD availability, accessibility, affordability, delivery and reporting of quality outcome measures around the world, with the greatest gaps observed in Africa and South Asia.
DOI: 10.1053/j.ajkd.2020.05.032
PubMed URL: 32800844
Type: Journal Article
Subjects: Epidemiology
health care delivery
health policy
kidney failure
peritoneal dialysis
Appears in Collections:Journal articles

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