Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
, 13 (2), 90-103

Changes in the Worldwide Epidemiology of Peritoneal Dialysis

Affiliations
Review

Changes in the Worldwide Epidemiology of Peritoneal Dialysis

Philip Kam-Tao Li et al. Nat Rev Nephrol.

Abstract

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 has proportionally decreased in parts of Europe and in Japan. The variable trends in peritoneal dialysis use reflect the multiple challenges in prescribing this therapy to patients. Key strategies for facilitating peritoneal dialysis utilization include implementation of policies and incentives that favour this modality, enabling the appropriate production and supply of peritoneal dialysis fluid at a low cost, and appropriate training for nephrologists to enable increased utilization of the therapy and to ensure that rates of technique failure continue to decline. Further growth in peritoneal dialysis use is required to enable this modality to become an integral part of renal replacement therapy programmes worldwide.

Similar articles

See all similar articles

Cited by 38 PubMed Central articles

See all "Cited by" articles

References

    1. Nephrol Dial Transplant. 2011 Oct;26(10):3366-72 - PubMed
    1. Chin Med J (Engl). 2011 Sep;124(17):2696-700 - PubMed
    1. Adv Chronic Kidney Dis. 2009 May;16(3):160-8 - PubMed
    1. Adv Perit Dial. 2015;31:26-9 - PubMed
    1. Perit Dial Int. 2007 Jun;27 Suppl 2:S196-201 - PubMed

MeSH terms

Feedback