Document Detail

Changing patterns of peritoneal dialysis utilization in the United States.
MedLine Citation:
PMID:  17556328     Owner:  NLM     Status:  MEDLINE    
The proportion of incident U.S. patients with end-stage renal disease starting chronic peritoneal dialysis (CPD) has historically been low. The low take-on for CPD in the United States is likely multifactorial, but limited physician training and inadequate pre-dialysis patient education appear to be particularly important. Furthermore, two key changes have occurred in the United States: a steep decline in CPD take-on and a progressive increase in the use of automated peritoneal dialysis (APD). The decline in CPD take-on has affected virtually every subgroup examined and has occurred, paradoxically, when the CPD outcomes in the country have improved. Understanding the reasons for historically low CPD take-on and recent steep declines in utilization may allow for plans to reverse these trends to be developed.
Rajnish Mehrotra
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis     Volume:  27 Suppl 2     ISSN:  0896-8608     ISO Abbreviation:  Perit Dial Int     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-08     Completed Date:  2008-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904033     Medline TA:  Perit Dial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  S51-2     Citation Subset:  IM    
Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, and David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California 90502, USA.
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MeSH Terms
Kidney Failure, Chronic / therapy*
Nephrology / education
Patient Education as Topic
Peritoneal Dialysis / utilization*
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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