Growing a peritoneal dialysis program: A single‐center experience

Physician Knowledge and Attitudes Toward the Adoption of Peritoneal Dialysis in the Treatment of Patients With End-Stage Kidney Disease

“…With regard to transplant outcomes, PD is associated with a lower risk of delayed graft function after KT [4,5]. Perhaps most importantly, PD has been consistently associated with superior patient-centered outcomes, including productivity and quality of life measures, compared to ICHD [6][7][8]. Despite many benefits, utilization of PD in the USA remains disappointingly low.…”

“…Given these well-established benefits, why are more patients not receiving PD? The answer is multifactorial and requires a closer look at historical policies and practices that influence physician and patient preferences in dialysis modality choice architecture [6]. Knowledge gaps around the candidacy and benefits of PD among both patients and physicians who counsel ESKD patients about dialysis contribute to the underutilization of PD [9,10], along with the highly corporatized hemodialysis (HD) industry [11].…”

The D&T Report

“…That's not the balance of his bank accounts; it's the price he places on the various parts of his body—his blood, bones, skin, organs, and even his hair. In his fascinating new book, The Red Market , Carney describes the global demand for human flesh and the gruesome lengths to which unscrupulous people will go to profit from that demand 1. That includes the purchase of kidneys from destitute people in places such as India, Pakistan, Egypt, and South Africa to fulfill a “neocannibalistic” search for transplantable organs.…”

“…In this special issue of D&T , Ramesh Saxena, MD, PhD, points out that the number of U.S. patients who opt for peritoneal dialysis (PD) is on the decline, despite a rise in the incidence of end‐stage renal disease (ESRD) and in the use of other renal replacement therapies (RRTs) 1. This is surprising, given that PD is often associated with many benefits over other forms of dialysis, including better clinical outcomes, greater scheduling flexibility, and a lower risk of bloodborne infections.…”

Peritoneal dialysis in 2011: Challenges, opportunities, and new insights

“…Growing a PD program involves enrolling more patients, and retaining them. We did not have look far to find Ramesh Saxena, MD, PhD, with the University of Texas Southwestern Medical Center in Dallas who shares his experience of expanding a PD program at a time of a dwindling population of PD patients elsewhere 1. His article clearly stresses the effectiveness of assembling a dedicated multidisciplinary team on modality education for all of his CKD stages 4 and 5 patients.…”