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Published on: July 20, 2022
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.
Abstract:
Peritoneal dialysis is the most commonly prescribed dialysis modality for infants and young children with kidney failure worldwide. Provision of high-quality care for the pediatric patient on chronic peritoneal dialysis requires a multidisciplinary approach and a strong collaboration with the patient and their caregiver. This article not only reviews current recommendations and advances in the care of pediatric patients on peritoneal dialysis with a focus on the provision of high-quality care and improvement in outcomes, but it also draws attention to health care disparities that exist locally and globally.
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