Changes in the worldwide epidemiology of peritoneal dialysis

  title={Changes in the worldwide epidemiology of peritoneal dialysis},
  author={Philip Kam-Tao Li and Kai Ming Chow and M van de Luijtgaarden and David W. Johnson and Kitty J. Jager and Rajnish Mehrotra and Saraladevi Naicker and Roberto Pecoits-Filho and Xue-Qing Yu and Norbert H. Lameire},
  journal={Nature Reviews Nephrology},
As the global burden of chronic kidney disease continues to increase, so does the need for a cost-effective renal replacement therapy. In many countries, patient outcomes with peritoneal dialysis are comparable to or better than those with haemodialysis, and peritoneal dialysis is also more cost-effective. These benefits have not, however, always led to increased utilization of peritoneal dialysis. Use of this therapy is increasing in some countries, including China, the USA and Thailand, but… 

Epidemiology of peritoneal dialysis outcomes

The use of peritoneal dialysis (PD) can be advantageous compared with haemodialysis treatment, although several barriers limit its broad implementation and several barriers can hamper PD utilization in low-income settings.

Peritoneal dialysis associated-peritonitis: a preventable complication

This review addresses the epidemiology, diagnosis, treatment, and preventive measures of peritonitis, focused on the procedures for improving the standards of care.

Peritoneal dialysis patient selection from a comorbidity perspective

How the presence of high age, comorbidities such as diabetes mellitus, obesity, polycystic kidney disease, heart failure, and previous history of abdominal surgery and renal allograft failure may influence the strategy of selecting patients for PD is discussed, focusing on measures that can be taken to overcome potential problems.

Urgent-Start Peritoneal Dialysis

The definition of urgent- start PD is presented, patient candidacy is defined, how to perform the therapy is demonstrated, and pertinent studies comparing to conventional-start PD and urgent HD with a CVC are reviewed.

Peritoneal dialysis in Indonesia: Current status, challenges and prospects

Despite an increase in incident peritoneal dialysis (PD) use of 20% per year, the overall PD prevalence in Indonesia is only 1–2%, with the goal of 30% yet to be reached by 2019. In the absence of

An International Analysis of Dialysis Services Reimbursement.

In low- and middle-income countries, reimbursement of dialysis is insufficient to treat all patients with ESKD and has a disproportionately high effect on public health expenditure.

Early Peritoneal Dialysis Technique Failure: Review

This up-to-date review will summarize current evidence regarding the definition, incidence, causes, and predictors of early PD technique failure, and promising avenues for directing future research efforts are discussed.

Exploring the Association between Changes in Dialysis Reimbursement Policies and Care Outcomes of Peritoneal Dialysis

The results showed that while the PD encouraging policies had increased the PD utilization, the increase in PD utilization was accompanied by a increase in technique failure and an increase in mortality.

Variation in Peritoneal Dialysis Time on Therapy by Country: Results from the Peritoneal Dialysis Outcomes and Practice Patterns Study.

Time on peritoneal dialysis in the context of outcomes of hemodialysis transfer, death, and kidney transplantation on the basis of the multinational, observational Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS) from 2014 to 2017 is described.

Anemia Management in Peritoneal Dialysis: Perspectives From the Asia Pacific Region




Chronic peritoneal dialysis in the United States: declining utilization despite improving outcomes.

The decline in peritoneal dialysis take-on cannot be entirely explained by increasing age, co-morbidity and body size of incident ESRD patients, and the decline in utilization has occurred at a time when the early outcomes of CPD patients have improved.

Global trends in rates of peritoneal dialysis.

The number of patients treated with peritoneal dialysis rose worldwide from 1997 to 2008, with a 2.5-fold increase in the prevalence of peritoneAL dialysis patients in developing countries, and the proportion of all dialysis Patients treated with this modality continues to decline in developed countries.

Peritoneal dialysis-first policy made successful: perspectives and actions.

  • P. LiK. Chow
  • Medicine
    American journal of kidney diseases : the official journal of the National Kidney Foundation
  • 2013
A brief review of a PD-first initiative that was implemented in Hong Kong more than 25 years ago and issues related to this policy are provided.

Long-Term Outcomes in Automated Peritoneal Dialysis: Similar or Better than in Continuous Ambulatory Peritoneal Dialysis?

  • R. Mehrotra
  • Medicine, Biology
    Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
  • 2009
The preponderance of the evidence suggests that peritonitis rates are somewhat lower in APD patients than in patients treated with continuous ambulatory PD (CAPD), and the long-term outcomes of CAPD and APD appear to be similar.

Peritoneal dialysis in China: meeting the challenge of chronic kidney failure.

  • Xueqing YuX. Yang
  • Medicine
    American journal of kidney diseases : the official journal of the National Kidney Foundation
  • 2015
There are more than 40,000 prevalent PD patients in China, representing approximately 20% of the total dialysis population, and recently, a National Dialysis Unit Training Program for countywide hospitals has been initiated.

The outcomes of continuous ambulatory and automated peritoneal dialysis are similar.

Under intent-to-treat, time-dependent, and as-treated analysis, there was little or no difference in risk for death or in technique failure, and the improved chronic peritoneal dialysis outcomes cannot be attributed to a greater use of automated peritoneAL dialysis.

The changing landscape of home dialysis in the United States

The changing landscape of home dialysis in the United States over the past decade is discussed, including recent research on clinical outcomes in patient undergoing peritoneal dialysis and home hemodialysis, and the impact of recent payment reforms for patients with end-stage renal disease is described.

Peritoneal dialysis patient selection: characteristics for success.

  • P. LiK. Chow
  • Medicine, Biology
    Advances in chronic kidney disease
  • 2009
Enhanced training to medical and nursing personnel on PD is one of the key success factors for improving its utilization and outcome and regular patient review is essential to allow prompt adjustment of the dialysis regimen and modality when required.

Can peritoneal dialysis be applied for unplanned initiation of chronic dialysis?

  • P. IvarsenJ. Povlsen
  • Medicine, Biology
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • 2014
Combining the unplanned PD programme with a nurse-assisted PD programme is crucial in order to offer the patient a real opportunity to choose a home-based dialysis option, and the results seem to indicate that compared with patients starting PD in a planned setting with peritoneal resting after PD catheter implantation, patients starting unplannedPD seem to be at least as safe as unplanned HD.

A Global Overview of the Impact of Peritoneal Dialysis First or Favored Policies: An Opinion

This review assessed country-specific PD-First/Favored policies and their associated background, implementation, and outcomes and found that barriers to policy-implementation are broadly associated with government policy, economics, provider or healthcare professional education, modality-related factors, and patient- related factors.