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NDT Advance Access originally published online on March 14, 2008
Nephrology Dialysis Transplantation 2008 23(5):1478-1481; doi:10.1093/ndt/gfn123
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.For Permissions, please email: journals.permissions@oxfordjournals.org


Why less success of the peritoneal dialysis programmes in Europe?

Wim van Biesen, Nic Veys, Norbert Lameire and Raymond Vanholder

Department of Internal Medicine, Renal Division, University Hospital Ghent, Belgium

Correspondence and offprint requests to: Wim van Biesen, Department of Internal Medicine, Renal Division, University Hospital Ghent, Belgium. E-mail: wim.vanbiesen@ugent.be, wim_vanbiesen@yahoo.com

Keywords: epidemiology; Europe; haemodialysis; peritoneal dialysis; survival

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

In this issue of NDT, an interesting editorial by Li and Szeto describes the success of the peritoneal dialysis (PD) programme in Hong Kong. The swift expansion of PD in Asia, and particularly in Hong Kong, is in sharp contrast with the tantalizing efforts of the PD community in Europe to prevent PD utilization rates from declining. Whereas in Hong Kong, the prevalence rates of PD are as high as 80%, in Europe, they are around a disappointing 15% [1]. The prevalence rates vary also substantially from country to country inside Europe, being <5% in Germany [2] and >30% in the United Kingdom [3]. Even within different regions in each country, there are striking differences: in Spain, PD prevalence ranges between 31% in Cantabria and 11% in Catalonia, and in Italy it ranges between 16% in Liguria and 2% in Campania [4]. . . . [Full Text of this Article]



   Would an increase in peritoneal dialysis utilisation in Europe offer advantages?
 


   Non-organisational reasons for the low incidence of patients starting on PD in Europe
 


   Factors influencing technique success
 


   Conclusion
 

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