Urgent start peritoneal dialysis: are we there yet?
Abstract The use of peritoneal dialysis (PD) has increased substantially in the United States (US) in the past decade. This was likely spurred in large part by the implementation of the expanded prospective payment system for the Medicare End Stage Renal Disease (ESRD) program in 2011. Over the same...
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| Format: | Article |
| Language: | English |
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BMC
2020-01-01
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| Series: | BMC Nephrology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12882-020-1706-2 |
| _version_ | 1818969033556361216 |
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| author | Keiko I. Greenberg Bernard G. Jaar |
| author_facet | Keiko I. Greenberg Bernard G. Jaar |
| author_sort | Keiko I. Greenberg |
| collection | DOAJ |
| description | Abstract The use of peritoneal dialysis (PD) has increased substantially in the United States (US) in the past decade. This was likely spurred in large part by the implementation of the expanded prospective payment system for the Medicare End Stage Renal Disease (ESRD) program in 2011. Over the same period, there has also been growing interest in urgent start PD, which is commonly defined as initiation of PD within 14 days of catheter insertion. Ye and colleagues recently reported their experience with urgent start PD in 2059 Chinese ESRD patients over a 9-year period. Rates of complications, including peri-catheter leaks and peritonitis, were very low despite initiation of PD immediately after open catheter placement via open laparotomy in nearly all patients. Long term technique survival was good, with only 75 patients developing catheter failure. This study provides further evidence to suggest that urgent start PD is feasible and effective, although the generalizability of these results to Western populations is unclear. Recent proposed changes to the payment models in the Medicare ESRD program, designed to incentivize use of kidney transplantation and home dialysis, are likely to further propel growth of PD and urgent start PD in the US. Further studies are needed to optimize use of urgent PD and patient outcomes. |
| first_indexed | 2024-12-20T14:14:09Z |
| format | Article |
| id | doaj.art-3b0517aeb7484e178811cdcf8e5a47f9 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-12-20T14:14:09Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-3b0517aeb7484e178811cdcf8e5a47f92022-12-21T19:38:04ZengBMCBMC Nephrology1471-23692020-01-012111310.1186/s12882-020-1706-2Urgent start peritoneal dialysis: are we there yet?Keiko I. Greenberg0Bernard G. Jaar1Division of Nephrology, Department of Medicine, Johns Hopkins University School of MedicineDivision of Nephrology, Department of Medicine, Johns Hopkins University School of MedicineAbstract The use of peritoneal dialysis (PD) has increased substantially in the United States (US) in the past decade. This was likely spurred in large part by the implementation of the expanded prospective payment system for the Medicare End Stage Renal Disease (ESRD) program in 2011. Over the same period, there has also been growing interest in urgent start PD, which is commonly defined as initiation of PD within 14 days of catheter insertion. Ye and colleagues recently reported their experience with urgent start PD in 2059 Chinese ESRD patients over a 9-year period. Rates of complications, including peri-catheter leaks and peritonitis, were very low despite initiation of PD immediately after open catheter placement via open laparotomy in nearly all patients. Long term technique survival was good, with only 75 patients developing catheter failure. This study provides further evidence to suggest that urgent start PD is feasible and effective, although the generalizability of these results to Western populations is unclear. Recent proposed changes to the payment models in the Medicare ESRD program, designed to incentivize use of kidney transplantation and home dialysis, are likely to further propel growth of PD and urgent start PD in the US. Further studies are needed to optimize use of urgent PD and patient outcomes.https://doi.org/10.1186/s12882-020-1706-2Peritoneal dialysisUrgent startPeritonitisTechnique failureComplications |
| spellingShingle | Keiko I. Greenberg Bernard G. Jaar Urgent start peritoneal dialysis: are we there yet? BMC Nephrology Peritoneal dialysis Urgent start Peritonitis Technique failure Complications |
| title | Urgent start peritoneal dialysis: are we there yet? |
| title_full | Urgent start peritoneal dialysis: are we there yet? |
| title_fullStr | Urgent start peritoneal dialysis: are we there yet? |
| title_full_unstemmed | Urgent start peritoneal dialysis: are we there yet? |
| title_short | Urgent start peritoneal dialysis: are we there yet? |
| title_sort | urgent start peritoneal dialysis are we there yet |
| topic | Peritoneal dialysis Urgent start Peritonitis Technique failure Complications |
| url | https://doi.org/10.1186/s12882-020-1706-2 |
| work_keys_str_mv | AT keikoigreenberg urgentstartperitonealdialysisarewethereyet AT bernardgjaar urgentstartperitonealdialysisarewethereyet |