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Perit Dial Int. 2015 Jul-Aug;35(4):406-20. doi: 10.3747/pdi.2013.00204. Epub 2014 Jul 31.

A Global Overview of the Impact of Peritoneal Dialysis First or Favored Policies: An Opinion.

Author information

1
Baxter Healthcare Corporation, Deerfield, IL, USA Xiaoqing_liu@baxter.com.
2
Pharmerit International, Bethesda, MD, USA.
3
Hollister Incorporated, Libertyville, IL, USA.
4
Banphaeo Hospital, Prommitr branch, Bangkok, Thailand.
5
Pontificia Universidade Católica do Paraná, School of Medicine, Curitiba, Parana, Brazil.
6
Hong Kong Baptist Hospital, Hong Kong, China.

Abstract

Given the ever-increasing burden of end-stage renal disease (ESRD) in a global milieu of limited financial and health resources, interested parties continue to search for ways to optimize dialysis access. Government and payer initiatives to increase access to renal replacement therapies (RRTs), particularly peritoneal dialysis (PD) and hemodialysis (HD), may have meaningful impacts from clinical and health-economic perspectives; and despite similar clinical and humanistic outcomes between the two dialysis modalities, PD may be the more convenient and resource-conscious option. This review assessed country-specific PD-First/Favored policies and their associated background, implementation, and outcomes. It was found that barriers to policy-implementation are broadly associated with government policy, economics, provider or healthcare professional education, modality-related factors, and patient-related factors. Notably, the success of a given country's PD-Favored policy was inversely associated with the extent of HD infrastructure. It is hoped that this review will provide a foundation across countries to share lessons learned during the development and implementation of PD-First/Favored policies.

KEYWORDS:

Peritoneal dialysis; global overview; peritoneal dialysis favored policy; peritoneal dialysis first policy

PMID:
25082840
PMCID:
PMC4520723
DOI:
10.3747/pdi.2013.00204
[Indexed for MEDLINE]
Free PMC Article

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