Barriers to Peritoneal Dialysis in Aboriginal Patients

Aboriginal people in Canada have a disproportionately large burden of ESKD, and PD could provide an alternative to in-center hemodialysis for those living in rural areas. Our study identified anxiety and lack of money as barriers to PD significantly associated with Aboriginal status. When choosing dialysis modality, shared decision making between physicians and patient is of key importance to weigh all potential benefits and risks and emphasize the Aboriginal patient's values and preferences. These results can be used to guide future research and to help devise interventions targeting barriers to PD in Aboriginals.