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Evaluating Factors Contributing to Dropout in a Large Peritoneal Dialysis Program
Hayden Torres1, Mihran Naljayan1, Maria Frontini2
1Louisiana State University Health Sciences Center in New Orleans - Section of Nephrology and Hypertension, School of Medicine, New Orleans, Louisiana.
The American Journal of the Medical Sciences
|August 1, 2020
Summary
Psychosocial factors (PF) are the main reason patients leave peritoneal dialysis (PD). Addressing PF is key to improving PD therapy retention and prevalence.
Area of Science:
- Nephrology
- Dialysis Therapy
- Patient Retention Studies
Background:
- Peritoneal dialysis (PD) has low prevalence (9%) compared to hemodialysis (HD) (88.2%).
- Patient dropout is a significant factor contributing to the low prevalence of PD.
Purpose of the Study:
- To identify the primary reasons for patient withdrawal from peritoneal dialysis.
- To analyze controllable factors influencing PD therapy dropout.
Main Methods:
- Retrospective study of patients withdrawing from PD between 2016-2018.
- Evaluation of dropout reasons, time on therapy, and method of initiation.
- Analysis of psychosocial factors (PF) as a controllable loss.
Main Results:
- 27 out of 83 patients dropped out; 24 due to controllable factors.
- Psychosocial factors (PF) were the largest controllable factor, causing 63% of controllable dropouts.
- PF influenced dropout across all time points and initiation methods.
Conclusions:
- Psychosocial factors are the primary driver of controllable patient loss from PD therapy.
- Interventions targeting PF are crucial for improving PD patient retention.
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