Assisted peritoneal dialysis across Europe: Practice variation and factors associated with availability

被引：18

作者：

van der Sluijs, Anita van Eck ^{[1
]}

van Jaarsveld, Brigit C. ^{[2
,3
]}

Allen, Jennifer ^{[4
]}

Altabas, Karmela ^{[5
]}

Bechade, Clemence ^{[6
]}

Bonenkamp, Anna A. ^{[2
]}

Burkhalter, Felix ^{[7
]}

Clause, Anne-Lorraine ^{[8
]}

Corbett, Richard W. ^{[9
]}

Dekker, Friedo W. ^{[10
]}

Eden, Gabriele ^{[11
]}

Francois, Karlien ^{[12
]}

Gudmundsdottir, Helga ^{[13
]}

Lundstrom, Ulrika Hahn ^{[14
]}

de Laforcade, Louis ^{[15
]}

Lambie, Mark ^{[16
]}

Martin, Heike ^{[17
]}

Pajek, Jernej ^{[18
,19
]}

Panuccio, Vincenzo ^{[20
]}

Ros-Ruiz, Silvia ^{[21
]}

Steubl, Dominik ^{[22
]}

Vega, Almudena ^{[23
]}

Wojtaszek, Ewa ^{[24
]}

Davies, Simon J. ^{[16
]}

Van Biesen, Wim ^{[25
]}

Abrahams, Alferso C. ^{[1
]}

机构：

[1] Univ Med Ctr Utrecht, Dept Nephrol & Hypertens, POB 85500, NL-3508 GA Utrecht, Netherlands

[2] Vrije Univ Amsterdam, Res Inst Amsterdam Cardiovasc Sci, Dept Nephrol, Amsterdam UMC, Amsterdam, Netherlands

[3] Diapr Dialysis Ctr, Amsterdam, Netherlands

[4] Nottingham Univ NHS Trust, Renal & Transplant Unit, Nottingham, England

[5] Clin Hosp Ctr Sestre Milosrdnice, Div Nephrol & Dialysis, Zagreb, Croatia

[6] Normandie Univ, Serv Nephrol Dialyse Transplantat, CHU Caen Normandie, UNICAEN, Caen, France

[7] Kantonsspital Baselland, Div Nephrol, Univ Clin Med, Liestal, Switzerland

[8] Epicura Hosp, Dept Nephrol & Dialysis, Mons, Belgium

[9] Imperial Coll Healthcare NHS Trust, Hammersmith Hosp, Renal & Transplant Ctr, London, England

[10] Leiden Univ Med Ctr, Dept Clin Epidemiol, Leiden, Netherlands

[11] Acad Teaching Hosp Braunschweig, Med Clin Nephrol Rheumatol Blood Purificat 5, Braunschweig, Germany

[12] Vrije Univ Brussel, Univ Ziekenhuis Brussel, Div Nephrol & Hypertens, Brussels, Belgium

[13] Oslo Univ Hosp, Dept Nephrol, Oslo, Norway

[14] Karolinska Inst, Dept Clin Sci Intervent & Technol CLINTEC, Div Renal Med, Stockholm, Sweden

[15] Ctr Hosp Pierre Oudot, Serv Endocrinol Nephrol, Bourgoin Jallieu, France

[16] Keele Univ, Fac Med & Hlth Sci, Stoke On Trent, Staffs, England

[17] Ctr Nephrol Zwickau, Zwickau, Germany

[18] Univ Med Ctr Ljubljana, Dept Nephrol, Ljubljana, Slovenia

[19] Univ Ljubljana, Med Fac, Ljubljana, Slovenia

[20] Grande Osped Metropolitano Bianchi Melacrino More, Nephrol Dialysis & Renal Transplant Unit, Reggio Di Calabria, Italy

[21] Elche Univ Gen Hosp, Dept Nephrol, Alicante, Spain

[22] Tech Univ Munich, Fac Med, Klinikum Rechts Isar, Munich, Germany

[23] Hosp Gen Univ Gregorio Maranon, Dept Nephrol, Madrid, Spain

[24] Med Univ Warsaw, Dept Nephrol Dialysis & Internal Dis, Warsaw, Poland

[25] Ghent Univ Hosp, Dept Nephrol, Ghent, Belgium

来源：

PERITONEAL DIALYSIS INTERNATIONAL | 2021年 / 41卷 / 06期

关键词：

Assisted peritoneal dialysis; end-stage kidney disease; home dialysis; practice variation; STAGE RENAL-DISEASE; QUALITY-OF-LIFE; HOME DIALYSIS; LONG-TERM; NEPHROLOGISTS; SURVIVAL; OPINION; CHOICE;

D O I：

10.1177/08968608211049882

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Background: In Europe, the number of elderly end-stage kidney disease patients is increasing. Few of those patients receive peritoneal dialysis (PD), as many cannot perform PD autonomously. Assisted PD programmes are available in most European countries, but the percentage of patients receiving assisted PD varies considerably. Hence, we assessed which factors are associated with the availability of an assisted PD programme at a centre level and whether the availability of this programme is associated with proportion of home dialysis patients. Methods: An online survey was sent to healthcare professionals of European nephrology units. After selecting one respondent per centre, the associations were explored by chi (2) tests and (ordinal) logistic regression. Results: In total, 609 respondents completed the survey. Subsequently, 288 respondents from individual centres were identified; 58% worked in a centre with an assisted PD programme. Factors associated with availability of an assisted PD programme were Western European and Scandinavian countries (OR: 5.73; 95% CI: 3.07-10.68), non-academic centres (OR: 2.01; 95% CI: 1.09-3.72) and centres with a dedicated team for education (OR: 2.87; 95% CI: 1.35-6.11). Most Eastern & Central European respondents reported that the proportion of incident and prevalent home dialysis patients was <10% (72% and 63%), while 27% of Scandinavian respondents reported a proportion of >30% for both incident and prevalent home dialysis patients. Availability of an assisted PD programme was associated with a higher incidence (cumulative OR: 1.91; 95% CI: 1.21-3.01) and prevalence (cumulative OR: 2.81; 95% CI: 1.76-4.47) of patients on home dialysis. Conclusions: Assisted PD was more commonly offered among non-academic centres with a dedicated team for education across Europe, especially among Western European and Scandinavian countries where higher incidence and prevalence of home dialysis patients was reported.

引用

页码：533 / 541

页数：9

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