Cost-Utility Analysis of Continuous Ambulatory Peritoneal Dialysis and Automated Peritoneal Dialysis for Thai Patients With End-Stage Renal Disease

Thaweethamcharoen, Tanita; Sritippayawan, Suchai; Noparatayaporn, Prapaporn; Aiyasanon, Nipa

doi:10.1016/j.vhri.2019.10.004

Cited by 7 publications

(2 citation statements)

References 20 publications

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“…In Thailand, the use of peritoneal dialysis (PD) has gained precedence in end-stage renal disease (ESRD) patients who are covered by the universal coverage scheme under the PD-first policy [1]. Under the benefits package provided by the National Health Service Organization (NHSO), continuous ambulatory peritoneal dialysis (CAPD) is the first option offered to ESRD patients except in cases where the condition of the abdomen hinders Tenckhoff (TK) catheter implantation [2]. However, high rates of dropout from CAPD programs and the association of CAPD with severe risk of or even death due to peritonitis make this modality of treatment inferior to hemodialysis (HD) [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Rescue plan for CAPD peritonitis: Using ultrasonography as a guide on when to remove the catheter

Lumlertgul,

Tinroongroj,

Lumlertgul

et al. 2023

Ther Apher Dial

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IntroductionUltrasound has been found to facilitate early identification of peritonitis in patients undergoing continuous ambulatory peritoneal dialysis (CAPD).MethodsA retrospective analysis was carried out to evaluate the effectiveness of ultrasonography‐guided removal of the Tenckhoff catheter in reducing complications like a shift to hemodialysis or death in CAPD patients.ResultsThe “peritonitis rescue plan” supported timely decision‐making for the removal of the infected catheter and resulted in a lower peritonitis episode per patient per month ratio (from 1:36 to 1:122) in 2021, a lower death rate (from 19% to 6.6%) and lower incidences of shifts to hemodialysis (from 2%–9% to 0%) as compared to that before the implementation of the plan in 2019.ConclusionThe implementation of the “peritonitis rescue plan” and the removal of the infected catheter within 3 days of peritonitis being detected was successful in improving the standard of care for patients undergoing CAPD.

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Section: Introductionmentioning

confidence: 99%

Rescue plan for CAPD peritonitis: Using ultrasonography as a guide on when to remove the catheter

Lumlertgul,

Tinroongroj,

Lumlertgul

et al. 2023

Ther Apher Dial

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show abstract

“…Continuous ambulatory peritoneal dialysis (CAPD) is a home-based therapy performed autonomously by trained patients or with the assistance of caregivers. Although CAPD offers several benefits for patients and the health care system [ 1 , 2 ], the patients inevitably face numerous complications, particularly peritonitis [ 3 , 4 ], which has been identified as a core outcome of peritoneal dialysis (PD) care [ 5 , 6 ]. This complication is a key reason for switching the mode of dialysis [ 7 , 8 ] and is associated with substantial morbidity [ 9 ], which consequently diminishes the quality of life [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Telehealth Service Use and Health Outcomes in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis: Cross-Sectional Study

Praha,

Sriyuktasuth,

Puwarawuttipanit

et al. 2023

J Med Internet Res

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Background Several studies have demonstrated the efficacy and user acceptance of telehealth in managing patients with chronic conditions, including continuous ambulatory peritoneal dialysis (CAPD). However, the rates of telehealth service use in various patient groups have been low and have declined over time, which may affect important health outcomes. Telehealth service use in patients undergoing CAPD has been recognized as a key challenge that needs to be examined further. Objective This study aimed to explore the rates of telehealth service use over 4 months, identify factors influencing its use, and examine the relationship between telehealth service use and health outcomes in Thai people undergoing CAPD. Methods This cross-sectional study, which was a part of a pragmatic randomized controlled trial study, was conducted at a dialysis center in Bangkok, Thailand. The study included patients who were undergoing CAPD. These patients were randomly enrolled in the intervention group to receive telehealth service and additional standard care for 4 months. Data were collected using self-reported questionnaires, including a demographic form, Functional, Communicative, and Critical Health Literacy Scale, Perceived Usefulness Questionnaire, Brief Illness Perception Questionnaire, Patient-Doctor Relationship Questionnaire, and Kidney Disease Quality of Life 36 Questionnaire. Additionally, Google Analytics was used to obtain data on the actual use of the telehealth service. These data were analyzed using descriptive statistics, repeated-measures ANOVA, and regression analyses. Results A total of 159 patients were included in this study. The mean rate of telehealth service use throughout the period of 4 months was 62.06 (SD 49.71) times. The rate of telehealth service use was the highest in the first month (mean 23.48, SD 16.28 times) and the lowest in the third month (mean 11.09, SD 11.48 times). Independent variables explained 27.6% of the sample variances in telehealth service use. Older age (β=.221; P=.002), higher perceived usefulness (β=.414; P<.001), unemployment (β=−.155; P=.03), and positive illness perception (β=−.205; P=.004) were associated with a significantly higher rate of telehealth service use. Regarding the relationship between telehealth service use and health outcomes, higher rates of telehealth service use were linked to better quality of life (β=.241; P=.002) and lower peritonitis (odds ratio 0.980, 95% CI 0.962-0.997; P=.03). Conclusions This study provides valuable insights into factors impacting telehealth service use, which in turn affect health outcomes in patients undergoing CAPD.

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Economic evaluation of three dialysis methods in patients with end-stage renal disease in China

Zhuang

Lü

et al. 2022

Int Urol Nephrol

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Cost-Utility Analysis of Continuous Ambulatory Peritoneal Dialysis and Automated Peritoneal Dialysis for Thai Patients With End-Stage Renal Disease

Cited by 7 publications

References 20 publications

Rescue plan for CAPD peritonitis: Using ultrasonography as a guide on when to remove the catheter

Rescue plan for CAPD peritonitis: Using ultrasonography as a guide on when to remove the catheter

Factors Influencing Telehealth Service Use and Health Outcomes in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis: Cross-Sectional Study

Economic evaluation of three dialysis methods in patients with end-stage renal disease in China

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