Epidemiology of Peritoneal Dialysis: a Story of Believers and Nonbelievers

Overview

Journal Nat Rev Nephrol

Specialty Nephrology

Date 2009 Dec 17

PMID 20010897

Citations 48

Authors

Norbert Lameire

Wim Van Biesen

Affiliations

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Abstract

In 2008, an estimated 1.77 million patients worldwide received dialysis. Of these patients, 1.58 million were treated with hemodialysis and approximately 190,000 received peritoneal dialyisis. In a global comparison of treatment methods for renal failure, therefore, hemodialysis clearly dominates. In this Review, we compare the epidemiology of peritoneal dialysis with that of hemodialysis and describe some of the major differences in the global utilization of the two dialysis modalities. These differences can largely be explained by a number of nonmedical, mainly economic factors, but also by educational and psychological factors. To reverse the current trends, the implementation of suitable reimbursement strategies for peritoneal dialysis is needed as well as increased investment in the training of young nephrology fellows and in education programs for patients and other non-nephrological health-care providers. To achieve these goals, academic and nonacademic training centers, which often consider peritoneal dialysis to be a low-level priority, must invest in research and training related to peritoneal dialysis.

Citing Articles

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Uptake and Outcomes of Peritoneal Dialysis among Aboriginal and Torres Strait Islander People: Analysis of Registry Data.

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Tian N, Yan Y, Chen N, Xu S, Chu R, Wang M Sci Rep. 2023; 13(1):1572.

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References

Kam-Tao Li P, Chow K . Peritoneal dialysis patient selection: characteristics for success. Adv Chronic Kidney Dis. 2009; 16(3):160-8. DOI: 10.1053/j.ackd.2009.02.001. View

Mendelssohn D . Empowerment of patient preference in dialysis modality selection. Am J Kidney Dis. 2004; 43(5):930-2. DOI: 10.1053/j.ajkd.2004.02.007. View

Heaf J, Lokkegaard H, Madsen M . Initial survival advantage of peritoneal dialysis relative to haemodialysis. Nephrol Dial Transplant. 2002; 17(1):112-7. DOI: 10.1093/ndt/17.1.112. View

Nissenson A, Prichard S, Cheng I, Gokal R, Kubota M, Maiorca R . ESRD modality selection into the 21st century: the importance of non medical factors. ASAIO J. 1997; 43(3):143-50. View

Vazelov E, Krivoshiev S, Antonov S, Lazarov G . End-stage renal disease and peritoneal dialysis in Bulgaria. Perit Dial Int. 2004; 24(6):512-7. View

Jaar B, Coresh J, Plantinga L, Fink N, Klag M, Levey A . Comparing the risk for death with peritoneal dialysis and hemodialysis in a national cohort of patients with chronic kidney disease. Ann Intern Med. 2005; 143(3):174-83. DOI: 10.7326/0003-4819-143-3-200508020-00003. View

Zeier M, Schwenger V, Deppisch R, Haug U, Weigel K, Bahner U . Glucose degradation products in PD fluids: do they disappear from the peritoneal cavity and enter the systemic circulation?. Kidney Int. 2002; 63(1):298-305. DOI: 10.1046/j.1523-1755.2003.00705.x. View

Mehrotra R . Long-term outcomes in automated peritoneal dialysis: similar or better than in continuous ambulatory peritoneal dialysis?. Perit Dial Int. 2009; 29 Suppl 2:S111-4. View

Mehrotra R, Kermah D, Fried L, Kalantar-Zadeh K, Khawar O, Norris K . Chronic peritoneal dialysis in the United States: declining utilization despite improving outcomes. J Am Soc Nephrol. 2007; 18(10):2781-8. DOI: 10.1681/ASN.2006101130. View

10.

Carvalho M, Henderson R, Shimakura S, Sousa I . Survival of hemodialysis patients: modeling differences in risk of dialysis centers. Int J Qual Health Care. 2003; 15(3):189-96. DOI: 10.1093/intqhc/mzg035. View

11.

Schaubel D, Blake P, Fenton S . Effect of renal center characteristics on mortality and technique failure on peritoneal dialysis. Kidney Int. 2001; 60(4):1517-24. DOI: 10.1046/j.1523-1755.2001.00969.x. View

12.

Liem Y, Wong J, Hunink M, de Charro F, Winkelmayer W . Comparison of hemodialysis and peritoneal dialysis survival in The Netherlands. Kidney Int. 2006; 71(2):153-8. DOI: 10.1038/sj.ki.5002014. View

13.

Mehrotra R, Khawar O, Duong U, Fried L, Norris K, Nissenson A . Ownership patterns of dialysis units and peritoneal dialysis in the United States: utilization and outcomes. Am J Kidney Dis. 2009; 54(2):289-98. DOI: 10.1053/j.ajkd.2009.01.262. View

14.

Ledebo I, Kessler M, Van Biesen W, Wanner C, Wiecek A, PRICHARD S . Initiation of dialysis-opinions from an international survey: Report on the Dialysis Opinion Symposium at the ERA-EDTA Congress, 18 September 2000, Nice. Nephrol Dial Transplant. 2001; 16(6):1132-8. DOI: 10.1093/ndt/16.6.1132. View

15.

McDonald S, Marshall M, Johnson D, Polkinghorne K . Relationship between dialysis modality and mortality. J Am Soc Nephrol. 2008; 20(1):155-63. PMC: 2615722. DOI: 10.1681/ASN.2007111188. View

16.

Durand P, Verger C . The state of peritoneal dialysis in France. Perit Dial Int. 2006; 26(6):654-7. View

17.

Pulliam J, Hakim R, Lazarus M . Peritoneal dialysis in large dialysis chains. Perit Dial Int. 2006; 26(4):435-7. View

18.

Michels W, Verduijn M, Boeschoten E, Dekker F, Krediet R . Similar survival on automated peritoneal dialysis and continuous ambulatory peritoneal dialysis in a large prospective cohort. Clin J Am Soc Nephrol. 2009; 4(5):943-9. PMC: 2676179. DOI: 10.2215/CJN.04440908. View

19.

Jassal S, Krishna G, Mallick N, Mendelssohn D . Attitudes of British Isles nephrologists towards dialysis modality selection: a questionnaire study. Nephrol Dial Transplant. 2002; 17(3):474-7. DOI: 10.1093/ndt/17.3.474. View

20.

Lobbedez T, Moldovan R, Lecame M, Hurault de Ligny B, El Haggan W, Ryckelynck J . Assisted peritoneal dialysis. Experience in a French renal department. Perit Dial Int. 2006; 26(6):671-6. View