Increased utilization of peritoneal dialysis for new dialysis patients on DWN DIALYSIS | Dialysis World Nigeria - DWN
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Increased utilization of peritoneal dialysis for new dialysis patients on DWN DIALYSIS
Date Posted: 15/Sep/2019   Deadline: 15/Sep/2019


In this retrospective quality improvement cohort study from the United States, a multidisciplinary approach was linked with increased rates of peritoneal dialysis initiation compared with national averages




 




Study Rundown:




Chronic kidney disease is one of the most prevalent chronic diseases in North America, with enormous societal burden. There is low quality evidence suggesting comparable or better outcomes with peritoneal dialysis over hemodialysis when starting renal replacement therapy. Rates of peritoneal dialysis in the United States have historically been lower than in other countries with comparable health outcomes.




 




This was a retrospective cohort and quality improvement study running between 2008 and 2018, with 13500 patients in the United States. It found that a multidisciplinary intervention was linked with increased initiation rates of peritoneal dialysis (15.2% to 33.8% of all dialysis initiations) and increased rates of peritoneal dialysis maintenance at 1 year (69.1% to 84.2%). There was no temporal changes in mortality for patients starting peritoneal dialysis or hemodialysis. Overall, this study supports the feasibility of a large scale quality improvement project to increase rates of peritoneal dialysis initiation, which is associated with better quality of life and lower costs.




 




Source: 2MINUTEMED, DWN AFRICA.



 

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