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Related Concept Videos

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

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Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
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Peritoneal Dialysis I: Introduction and Procedure01:30

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Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
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Peritoneal Dialysis III: Nursing Management01:25

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Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
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Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

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Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
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Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
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Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
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International Variations in Peritoneal Dialysis Utilization and Implications for Practice.

Victoria Briggs1, Simon Davies2, Martin Wilkie3

  • 1University of Sheffield, Sheffield, United Kingdom.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|February 26, 2019
PubMed
Summary

Peritoneal dialysis (PD) use is low globally due to patient, healthcare team, and system factors. Interventions like patient education, training, and health system changes can increase PD adoption and improve patient outcomes.

Keywords:
Index Words: Peritoneal dialysis (PD)PD Firstcatheter placementdialysis modalityend-stage renal disease (ESRD)health care costshealth care policyhealth care reimbursementinfectious complicationsinternational comparisonskidney replacement therapy (KRT)modality selectiontechnique failureurgent-start PD

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Area of Science:

  • Nephrology
  • Public Health
  • Health Services Research

Background:

  • Peritoneal dialysis (PD) offers advantages like home-based treatment and avoiding central venous catheters, yet its global utilization remains suboptimal.
  • Patient training can enhance health literacy, independence, and quality of life, potentially improving cost-effectiveness.

Purpose of the Study:

  • To explore factors contributing to the significant international variation in PD use.
  • To identify interventions that can positively influence PD adoption rates.

Main Methods:

  • This study is a review exploring existing literature and data on PD utilization.
  • Analysis of patient-level, healthcare team-level, and healthcare system-level factors influencing PD uptake.
  • Examination of successful interventions and health system changes that have increased PD use.

Main Results:

  • Low PD use is attributed to complex factors including patient readiness, healthcare provider practices, and systemic issues like dialysis fluid cost.
  • Key interventions include comprehensive patient education on dialysis modality choice, efficient catheter placement, and tailored patient training.
  • Health system changes such as targeted funding and "PD First" initiatives have demonstrated success in boosting PD utilization.

Conclusions:

  • Addressing patient, provider, and system-level barriers is crucial for increasing peritoneal dialysis use.
  • Implementing targeted interventions, including enhanced patient education and supportive health policies, can significantly improve PD adoption worldwide.