Peritoneal dialysis practice in Australia and New Zealand: A call to sustain the action

Nephrology (Carlton). 2016 Jul;21(7):535-46. doi: 10.1111/nep.12731.

Abstract

This paper updates a previous 'Call to Action' paper (Nephrology 2011; 16: 19-29) that reviewed key outcome data for Australian and New Zealand peritoneal dialysis patients and made recommendations to improve care. Since its publication, peritonitis rates have improved significantly, although they have plateaued more recently. Peritoneal dialysis patient and technique survival in Australian and New Zealand have also improved, with a reduction in the proportion of technique failures attributed to 'social reasons'. Despite these improvements, technique survival rates overall remain lower than in many other parts of the world. This update includes additional practical recommendations based on published evidence and emerging initiatives to further improve outcomes.

Keywords: continuous ambulatory peritoneal dialysis; outcome; peritoneal dialysis; peritonitis; quality indicator; technique survival.

Publication types

  • Review

MeSH terms

  • Australia
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Kidney Diseases / diagnosis
  • Kidney Diseases / therapy*
  • Nephrology* / standards
  • New Zealand
  • Patient Education as Topic
  • Patient Selection
  • Peritoneal Dialysis* / adverse effects
  • Peritoneal Dialysis* / standards
  • Peritoneal Dialysis, Continuous Ambulatory
  • Peritonitis / etiology
  • Peritonitis / prevention & control
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians'* / standards
  • Process Assessment, Health Care* / standards
  • Quality Improvement* / standards
  • Quality Indicators, Health Care* / standards
  • Risk Factors
  • Social Support
  • Time Factors
  • Treatment Outcome