Premium
Peritoneal dialysis practice in Australia and New Zealand: A call to sustain the action
Author(s) -
Mudge David W,
Boudville Neil,
Brown Fiona,
Clayton Philip,
Duddington Michelle,
Holt Stephen,
Johnson David W,
Jose Matthew,
Saweirs Walaa,
Sud Kamal,
Voss David,
Walker Rowan
Publication year - 2016
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/nep.12731
Subject(s) - medicine , peritoneal dialysis , call to action , dialysis , nephrology , intensive care medicine , clinical practice , peritonitis , family medicine , marketing , business
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.