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NDT Advance Access originally published online on February 19, 2004
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Nephrol Dial Transplant (2004) 19: 1363-1367
Nephrol Dial Transplant Vol. 19 No. 6 © ERA-EDTA 2004; all rights reserved

Editorial Comment

Non-medical factors influencing peritoneal dialysis utilization: the Swiss experience

Jean-Pierre Wauters and Dominik Uehlinger

Division of Nephrology-Hypertension, University Hospital, Bern, Switzerland

Correspondence and offprint requests to: Professor J.-P. Wauters, Abteilung Nephrologie-Hypertonie, Inselspital, CH 3010 Bern, Switzerland. Email: Jean-Pierre.Wauters@insel.ch

Keywords: chronic dialysis; chronic kidney disease; end-stage renal failure; medical decision; peritoneal dialysis

The first 150 words of the full text of this article appear below.



   Introduction
 
The use of peritoneal dialysis (PD) in the treatment of patients with end-stage renal disease (ESRD) fluctuates considerably from country to country [1]. The proportion varies from 0 to above 60% of the total dialysis population and is most often explained by socio-economic, health care or reimbursement factors [1–4]. This disparity, however, also exists at the regional or at the centre level and may also change over time within the same unit, meaning that other factors must play a role. Based on the Swiss experience over the last few years, the present review analyses those factors and proposes some strategies towards a more homogeneous use of dialysis modalities.



   Some facts about PD utilization
 
Over the past decade several studies have compared the outcomes of PD vs haemodialysis (HD) and, despite some conflicting reports, no major difference in patient survival has been observed [5,6]. In addition, . . . [Full Text of this Article]



   Which factors influence the use of PD?
 
Economic factors
Centre factors
Patient factors
Socio-economic factors
Cultural factors


   Some proposals towards a more homogeneous use
 
Social security measures
Educational measures
Patient information measures
PD logistics measures


   Conclusions
 

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 Nephrol Dial TransplantHome page
N. G. Kutner, R. Zhang, H. Barnhart, and A. J. Collins
Health status and quality of life reported by incident patients after 1 year on haemodialysis or peritoneal dialysis
Nephrol. Dial. Transplant., October 1, 2005; 20(10): 2159 - 2167.
[Abstract] [Full Text] [PDF]