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Assisted peritoneal dialysis across Europe: Practice variation and factors associated with availability
Anita van Eck van der Sluijs1, Brigit C van Jaarsveld2,3, Jennifer Allen4
1Department of Nephrology and Hypertension, 8124University Medical Centre Utrecht, the Netherlands.
Summary
Assisted peritoneal dialysis (PD) programs are more common in Western Europe and Scandinavia, particularly in non-academic centers with dedicated education teams. Availability of assisted PD is linked to increased home dialysis patient rates.
Area of Science:
- Nephrology
- Public Health
- Healthcare Management
Background:
- Increasing elderly population with end-stage kidney disease in Europe.
- Low utilization of peritoneal dialysis (PD) due to patient autonomy limitations.
- Variability in assisted PD program availability across European countries.
Purpose of the Study:
- Identify factors associated with the availability of assisted PD programs at the center level.
- Determine if assisted PD program availability correlates with the proportion of home dialysis patients.
Main Methods:
- Online survey distributed to European nephrology unit healthcare professionals.
- Selection of one respondent per center for data analysis.
- Statistical analysis using chi-squared tests and logistic regression.
Main Results:
- 58% of surveyed centers offered assisted PD programs.
- Assisted PD availability was higher in Western/Scandinavian countries, non-academic centers, and centers with dedicated education teams.
- Centers with assisted PD programs showed higher incidence and prevalence of home dialysis patients.
Conclusions:
- Assisted PD is more prevalent in non-academic centers with dedicated education teams, especially in Western/Scandinavian regions.
- Assisted PD programs are associated with a greater proportion of patients utilizing home dialysis.
- Targeted support and infrastructure in non-academic settings may enhance PD adoption.
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