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Automated peritoneal dialysis in Asia
1Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong.
Summary
Government policies and machine costs significantly impact dialysis choices in Asian countries, with automated peritoneal dialysis (APD) being underdeveloped despite its benefits for certain patients.
Area of Science:
- Nephrology
- Public Health
- Health Economics
Background:
- Socioeconomic statuses and government reimbursement policies for renal replacement therapy (RRT) vary widely across Asian nations.
- These factors influence both the availability and modality selection for end-stage renal disease (ESRD) treatment.
Purpose of the Study:
- To investigate the relationship between economic indicators and dialysis modality utilization in Asian Pacific countries.
- To identify factors influencing the adoption of automated peritoneal dialysis (APD) in the region.
Main Methods:
- Analysis of dialysis treatment rates and peritoneal dialysis (PD) utilization in relation to Gross Domestic Product (GDP) per capita.
- Comparison of automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD) utilization rates.
- Examination of non-medical factors, including government reimbursement and machine costs.
Main Results:
- A correlation exists between ESRD treatment rates and GDP per capita.
- A biphasic relationship was observed between GDP per capita and PD utilization rates.
- Automated peritoneal dialysis (APD) utilization is low, influenced by patient-borne costs and government policies, with continuous cycling peritoneal dialysis (CCPD) being most common.
Conclusions:
- Automated peritoneal dialysis (APD) is an underdeveloped RRT modality in Asian Pacific countries.
- Non-medical factors, such as reimbursement policies and the cost of PD machines, significantly hinder APD adoption.
- Further policy interventions and cost reductions are needed to promote APD utilization.