Although Peritoneal Dialysis is recognized as an effective renal replacement therapy, an alternative to Hemodialysis, its prevalence is around 15% in most industrialized countries. In the United States Peritoneal is clearly underutilized with a prevalence of less than 8%. A study was established to evaluate Nephrologists' perceived obstacles to Peritoneal implementation and reflect on possible actions towards its development.
The main reasons given for the low usage of Peritoneal Dialysis were:
- Easy access to Hemodialysis.
- Limited accommodation for the aged due to vision impairment, frailty, and cognitive dysfunction.
- Patient refusal and lack of Nephrologist motivation or bias.
- A need for a dedicated nursing team to deliver an effective educational program and care management.
The ability of Chronic Kidney Disease (CKD) patients to use Peritoneal for their dialysis treatment should not be determined by where they live or a health professional's preference. KidneyBuzz.com encourages all CKD patients to educate themselves so they can select the dialysis treatment that gives them the best quality of life and suits their lifestyle.
"Clinical Kidney Journal." Perceptive Barriers to Peritoneal Dialysis Implementation: An Opinion Poll among the French-speaking Belgian Nephrologists.