Care of the pediatric patient on chronic peritoneal dialysis

Annabelle N Chua1, Reeti Kumar2, Bradley A Warady3

  • 1Division of Pediatric Nephrology, Department of Pediatrics, Duke Children's Hospital, Duke University School of Medicine, Box 3959, Durham, NC, 27710, USA. Annabelle.Chua@duke.edu.

Insights

Peritoneal dialysis is a common treatment for pediatric kidney failure. High-quality care requires a team approach and caregiver collaboration, addressing global health disparities.

Area of Science:

  • Nephrology
  • Pediatric Care
  • Public Health

Background:

  • Peritoneal dialysis is the primary dialysis method for infants and children globally.
  • Managing pediatric kidney failure necessitates a multidisciplinary team and patient/caregiver partnership.
  • Ensuring high-quality care is crucial for improving outcomes in young dialysis patients.

Purpose of the Study:

  • To review current recommendations and advancements in pediatric peritoneal dialysis care.
  • To emphasize the importance of high-quality care and outcome improvement.
  • To highlight existing local and global healthcare disparities in pediatric dialysis.

Main Methods:

  • Literature review of current recommendations and advancements.
  • Analysis of multidisciplinary care models.
  • Examination of healthcare disparities in pediatric peritoneal dialysis.

Main Results:

  • Current guidelines support a multidisciplinary approach for optimal pediatric peritoneal dialysis.
  • Collaborative care models show promise in enhancing patient and caregiver engagement.
  • Significant healthcare disparities persist, impacting access and quality of care globally.

Conclusions:

  • Optimizing pediatric peritoneal dialysis requires adherence to current recommendations and embracing advancements.
  • Multidisciplinary teams and strong patient-caregiver collaboration are essential for high-quality care.
  • Addressing healthcare disparities is critical to ensure equitable outcomes for all children with kidney failure.

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