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Peritoneal catheter insertion: combating barriers through policy change.

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Access to peritoneal dialysis (PD) catheter insertion is crucial for kidney failure patients. Improving PD access requires better patient selection, training, and policy changes to increase home dialysis uptake.

Keywords:
COVID-19ESRDcatheterhome dialysisperitoneal dialysis

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Area of Science:

  • Nephrology
  • Surgical Procedures
  • Public Health Policy

Background:

  • Home dialysis, particularly peritoneal dialysis (PD), is a vital option for kidney failure patients.
  • The COVID-19 pandemic highlighted critical barriers to accessing PD catheter insertion, impacting patient survival.
  • Timely access to PD catheter insertion procedures is essential for effective home dialysis therapy.

Purpose of the Study:

  • To comprehensively analyze global PD catheter insertion procedures and identify access barriers.
  • To assess the impact of the COVID-19 pandemic on PD catheter insertion capabilities and outcomes.
  • To propose a roadmap of policy solutions to improve access to PD and home dialysis.

Main Methods:

  • A global survey of institutions was conducted to gather data on regulatory frameworks, procedural barriers, and pandemic impacts.
  • Analysis of current PD catheter insertion practices worldwide.
  • Review of policy implications and potential solutions.

Main Results:

  • Barriers to PD catheter insertion significantly limit home dialysis access, a critical issue exacerbated by the COVID-19 pandemic.
  • Improving patient selection, insertion techniques, and multidisciplinary team collaboration enhances PD access.
  • Global survey data reveals challenges in regulatory frameworks and pandemic-related disruptions.

Conclusions:

  • Enhancing PD catheter insertion access requires optimizing patient selection, insertion techniques, and multidisciplinary care.
  • Policy-level interventions, including increased awareness, enhanced training, and dedicated funding, are crucial for greater PD uptake.
  • Strengthening the infrastructure and training for PD catheter insertion is vital to expand home dialysis options for kidney failure patients.