A Potential Role of Peritoneal Dialysis as ‘a Bridging Therapy’ to Other Renal Replacement Therapies

Kuriyama, Satoru

doi:10.1159/000045896

Cited by 3 publications

(3 citation statements)

References 42 publications

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“…With respect to modality selection in diabetic patients, the individual history of diabetes and any accompanying comorbidities must be considered. Therapy that is more individualized and linked to the concept of integrated ESRD care allows for the two dialysis modalities and kidney transplantation all to be considered at each phase of active ESRD treatment (11).…”

Section: Peritoneal Dialysis In Diabetic Patientsmentioning

confidence: 99%

Peritoneal Dialysis in Patients with Diabetes: Are the Benefits Greater than the Disadvantages?

Kuriyama

2007

Perit Dial Int

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Diabetic nephropathy has been increasing in prevalence in recent years, and it is now the dominant cause of end-stage renal disease (ESRD) worldwide. Because diabetes is frequently associated with multiple complications, nephrologists must be alert to the selection of dialysis modality so as to reduce the accompanying risks. The present review addresses whether the benefits of peritoneal dialysis are greater than its disadvantages in diabetic patients. The answer is quite positive: for most diabetic patients, peritoneal dialysis offers multiple benefits.

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Section: Peritoneal Dialysis In Diabetic Patientsmentioning

confidence: 99%

Peritoneal Dialysis in Patients with Diabetes: Are the Benefits Greater than the Disadvantages?

Kuriyama

2007

Perit Dial Int

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“…Since the transplantation rate is rather low in Japan, most patients rely on long-term dialysis therapy. Although EPS in Japan is not common in PD patients, the frequency of EPS increases with time on dialysis, and this affects patients’ and doctors’ attitudes against choosing long-term PD for patients (13). Furthermore, PD may be more expensive than HD in Japan (14).…”

Section: Utilization Of Pd In Asia and Its Limiting Factorsmentioning

confidence: 99%

Peritoneal Dialysis in Asia in the 21St Century: Perspectives on and Obstacles to Peritoneal Dialysis Therapy in Asian Countries

et al. 2002

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“…They also suggested that cultural factors lead to patients not selecting PD (2). Kuriyama believes that Japanese patients are not equally informed about PD as a treatment option (3). Kurokawa also notes that there is too little financial incentive for doctors, hospitals, or dialysis clinics to promote PD to patients (2).…”

mentioning

confidence: 99%

The Japanese Health-Care System and Reimbursement for Dialysis

Naito

2006

Perit Dial Int

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Like most countries, Japan is facing constraints on expansion of health system financial resources. There are almost 250000 Japanese patients with end-stage renal disease and almost all are managed by chronic dialysis. Hospital hemodialysis is the modality used by 96% of these patients. The Japanese health-care system has tended to support resource-intensive treatments because the fee-for-service remuneration system has rewarded their utilization. This has benefited hemodialysis at the expense of peritoneal dialysis. However, this may now be changing. Case management and global budget-related approaches are being more widely introduced, as are incentives to reward more efficient treatment options. The relative costs of dialysis modalities are difficult to appreciate, as center-based services, such as hospital hemodialysis, are dependent upon fixed resources, while home-based options, such as peritoneal dialysis, are dependent upon variable resources. The aim of this review is to reconcile various sources of information relevant to end-stage renal disease funding in Japan. The review will suggest that modifying the approach to modality selection could lead to more efficient allocation of future dialysis-related resources and so reduce the strain on Japan's health-care budget.

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A Potential Role of Peritoneal Dialysis as ‘a Bridging Therapy’ to Other Renal Replacement Therapies

Cited by 3 publications

References 42 publications

Peritoneal Dialysis in Patients with Diabetes: Are the Benefits Greater than the Disadvantages?

Peritoneal Dialysis in Patients with Diabetes: Are the Benefits Greater than the Disadvantages?

Peritoneal Dialysis in Asia in the 21St Century: Perspectives on and Obstacles to Peritoneal Dialysis Therapy in Asian Countries

The Japanese Health-Care System and Reimbursement for Dialysis

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