[Financial barriers and peritoneal dialysis]

Peritoneal Dialysis (PD) has shown good result for the patients'survival and quality of life, but there is no development of PD in France. Many reasons can explain this situation, but we will focus here on financial restraint. PD has a low reimbursement rate, lower than the real cost of the technique. Furthermore, it is very difficult to find a place for PD patients when they need an hospitalization or lose their autonomy. The Pilot Committee for Kidney Disease is about to propose some solutions, but the effects may be limited as long as the difference in the reimbursement rate between PD and in center dialysis will persist.