2026 ISPD Position Statement on tracking and reporting loss from PD therapy.

Area of Science:

• Nephrology
• Dialysis Therapy
• Clinical Practice Guidelines

Background:

• Peritoneal dialysis (PD) is a growing renal replacement therapy worldwide.
• High rates of patient discontinuation from PD within two years hinder its widespread adoption.
• Inconsistent definitions of "technique failure" obscure reasons for PD loss and complicate quality improvement.

Purpose of the Study:

• To standardize definitions and reporting of causes for loss from peritoneal dialysis therapy.
• To establish key performance indicators for benchmarking and quality improvement in PD.
• To address variability in reported PD outcomes potentially due to inconsistent measurement and analysis.

Main Methods:

• Convening an International Society for Peritoneal Dialysis (ISPD) working group.
• Developing standardized definitions for causes of PD discontinuation.
• Proposing methods for measurement, analysis, and reporting of PD loss.

Main Results:

• Lack of standardized definitions for "technique failure" has historically obscured variability in PD outcomes.
• Standardized definitions and reporting are crucial for accurate benchmarking and quality improvement.
• Proposed key performance indicators aim to facilitate research and enhance PD therapy effectiveness.

Conclusions:

• Standardizing the definition, measurement, analysis, and reporting of loss from PD is essential.
• Consistent methodology will improve the understanding of PD outcomes and facilitate quality improvement.
• This ISPD initiative aims to maximize the safe and effective use of peritoneal dialysis globally.