TY - JOUR
T1 - Assisted peritoneal dialysis across Europe
T2 - Practice variation and factors associated with availability
AU - van Eck van der Sluijs, Anita
AU - van Jaarsveld, Brigit C.
AU - Allen, Jennifer
AU - Altabas, Karmela
AU - Béchade, Clémence
AU - Bonenkamp, Anna A.
AU - Burkhalter, Felix
AU - Clause, Anne-Lorraine
AU - Corbett, Richard W.
AU - Dekker, Friedo W.
AU - Eden, Gabriele
AU - François, Karlien
AU - Gudmundsdottir, Helga
AU - Lundström, Ulrika Hahn
AU - de Laforcade, Louis
AU - Lambie, Mark
AU - Martin, Heike
AU - Pajek, Jernej
AU - Panuccio, Vincenzo
AU - Ros-Ruiz, Silvia
AU - Steubl, Dominik
AU - Vega, Almudena
AU - Wojtaszek, Ewa
AU - Davies, Simon J.
AU - van Biesen, Wim
AU - Abrahams, Alferso C.
PY - 2021/11/1
Y1 - 2021/11/1
N2 - 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 χ2 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.
AB - 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 χ2 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.
KW - Aged
KW - Europe
KW - Hemodialysis, Home
KW - Humans
KW - Kidney Failure, Chronic/epidemiology
KW - Nephrology
KW - Peritoneal Dialysis
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85117504000&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/34672219
U2 - https://doi.org/10.1177/08968608211049882
DO - https://doi.org/10.1177/08968608211049882
M3 - Article
C2 - 34672219
SN - 0896-8608
VL - 41
SP - 533
EP - 541
JO - Peritoneal Dialysis International
JF - Peritoneal Dialysis International
IS - 6
ER -