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D espite decades of experience with both peritoneal dialysis (PD) and hemodialysis (HD), nephrologists around the world continue to debate sthe optimal dialysis modality. Wide geographic variations exist, with Hong… Click to show full abstract
D espite decades of experience with both peritoneal dialysis (PD) and hemodialysis (HD), nephrologists around the world continue to debate sthe optimal dialysis modality. Wide geographic variations exist, with Hong Kong, the pioneer of PD first, having the highest prevalence of PD patients at approximately 70%. In contrast, the United States is currently at 10% to 12%, and Japan stands at approximately 5% PD prevalence. Lately, the U.S. president’s executive order has mandated increasing the use of home dialysis modalities over the next 5 years, including the use of PD, necessitating U.S.-based nephrologists to be more cognizant of PD, its outcomes, and its complications. Recent research has shown that dialysis staff with less training and enthusiasm for PD are associated with lower rates of PD initiation,
Journal Title: Kidney International Reports
Year Published: 2020
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