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Assisted peritoneal dialysis across Europe : practice variation and factors associated with availability

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Abstract
Background: In Europe, the number of elderly end-stage kidney disease patients is increasing. Few of those patients receive peritoneal dialysis (PD), as many cannot perform PD autonomously. Assisted PD programmes are available in most European countries, but the percentage of patients receiving assisted PD varies considerably. Hence, we assessed which factors are associated with the availability of an assisted PD programme at a centre level and whether the availability of this programme is associated with proportion of home dialysis patients. Methods: An online survey was sent to healthcare professionals of European nephrology units. After selecting one respondent per centre, the associations were explored by chi (2) tests and (ordinal) logistic regression. Results: In total, 609 respondents completed the survey. Subsequently, 288 respondents from individual centres were identified; 58% worked in a centre with an assisted PD programme. Factors associated with availability of an assisted PD programme were Western European and Scandinavian countries (OR: 5.73; 95% CI: 3.07-10.68), non-academic centres (OR: 2.01; 95% CI: 1.09-3.72) and centres with a dedicated team for education (OR: 2.87; 95% CI: 1.35-6.11). Most Eastern & Central European respondents reported that the proportion of incident and prevalent home dialysis patients was <10% (72% and 63%), while 27% of Scandinavian respondents reported a proportion of >30% for both incident and prevalent home dialysis patients. Availability of an assisted PD programme was associated with a higher incidence (cumulative OR: 1.91; 95% CI: 1.21-3.01) and prevalence (cumulative OR: 2.81; 95% CI: 1.76-4.47) of patients on home dialysis. Conclusions: Assisted PD was more commonly offered among non-academic centres with a dedicated team for education across Europe, especially among Western European and Scandinavian countries where higher incidence and prevalence of home dialysis patients was reported.
Keywords
Assisted peritoneal dialysis, end-stage kidney disease, home dialysis, practice variation, STAGE RENAL-DISEASE, QUALITY-OF-LIFE, HOME DIALYSIS, LONG-TERM, NEPHROLOGISTS, SURVIVAL, OPINION, CHOICE

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MLA
van der Sluijs, Anita van Eck, et al. “Assisted Peritoneal Dialysis across Europe : Practice Variation and Factors Associated with Availability.” PERITONEAL DIALYSIS INTERNATIONAL, vol. 41, no. 6, 2021, pp. 533–41, doi:10.1177/08968608211049882.
APA
van der Sluijs, A. van E., van Jaarsveld, B. C., Allen, J., Altabas, K., Bechade, C., Bonenkamp, A. A., … Abrahams, A. C. (2021). Assisted peritoneal dialysis across Europe : practice variation and factors associated with availability. PERITONEAL DIALYSIS INTERNATIONAL, 41(6), 533–541. https://doi.org/10.1177/08968608211049882
Chicago author-date
Sluijs, Anita van Eck van der, Brigit C. van Jaarsveld, Jennifer Allen, Karmela Altabas, Clemence Bechade, Anna A. Bonenkamp, Felix Burkhalter, et al. 2021. “Assisted Peritoneal Dialysis across Europe : Practice Variation and Factors Associated with Availability.” PERITONEAL DIALYSIS INTERNATIONAL 41 (6): 533–41. https://doi.org/10.1177/08968608211049882.
Chicago author-date (all authors)
van der Sluijs, Anita van Eck, Brigit C. van Jaarsveld, Jennifer Allen, Karmela Altabas, Clemence Bechade, Anna A. Bonenkamp, Felix Burkhalter, Anne-Lorraine Clause, Richard W. Corbett, Friedo W. Dekker, Gabriele Eden, Karlien Francois, Helga Gudmundsdottir, Ulrika Hahn Lundstrom, Louis de Laforcade, Mark Lambie, Heike Martin, Jernej Pajek, Vincenzo Panuccio, Silvia Ros-Ruiz, Dominik Steubl, Almudena Vega, Ewa Wojtaszek, Simon J. Davies, Wim Van Biesen, and Alferso C. Abrahams. 2021. “Assisted Peritoneal Dialysis across Europe : Practice Variation and Factors Associated with Availability.” PERITONEAL DIALYSIS INTERNATIONAL 41 (6): 533–541. doi:10.1177/08968608211049882.
Vancouver
1.
van der Sluijs A van E, van Jaarsveld BC, Allen J, Altabas K, Bechade C, Bonenkamp AA, et al. Assisted peritoneal dialysis across Europe : practice variation and factors associated with availability. PERITONEAL DIALYSIS INTERNATIONAL. 2021;41(6):533–41.
IEEE
[1]
A. van E. van der Sluijs et al., “Assisted peritoneal dialysis across Europe : practice variation and factors associated with availability,” PERITONEAL DIALYSIS INTERNATIONAL, vol. 41, no. 6, pp. 533–541, 2021.
@article{8740540,
  abstract     = {{Background: In Europe, the number of elderly end-stage kidney disease patients is increasing. Few of those patients receive peritoneal dialysis (PD), as many cannot perform PD autonomously. Assisted PD programmes are available in most European countries, but the percentage of patients receiving assisted PD varies considerably. Hence, we assessed which factors are associated with the availability of an assisted PD programme at a centre level and whether the availability of this programme is associated with proportion of home dialysis patients. Methods: An online survey was sent to healthcare professionals of European nephrology units. After selecting one respondent per centre, the associations were explored by chi (2) tests and (ordinal) logistic regression. Results: In total, 609 respondents completed the survey. Subsequently, 288 respondents from individual centres were identified; 58% worked in a centre with an assisted PD programme. Factors associated with availability of an assisted PD programme were Western European and Scandinavian countries (OR: 5.73; 95% CI: 3.07-10.68), non-academic centres (OR: 2.01; 95% CI: 1.09-3.72) and centres with a dedicated team for education (OR: 2.87; 95% CI: 1.35-6.11). Most Eastern & Central European respondents reported that the proportion of incident and prevalent home dialysis patients was <10% (72% and 63%), while 27% of Scandinavian respondents reported a proportion of >30% for both incident and prevalent home dialysis patients. Availability of an assisted PD programme was associated with a higher incidence (cumulative OR: 1.91; 95% CI: 1.21-3.01) and prevalence (cumulative OR: 2.81; 95% CI: 1.76-4.47) of patients on home dialysis. Conclusions: Assisted PD was more commonly offered among non-academic centres with a dedicated team for education across Europe, especially among Western European and Scandinavian countries where higher incidence and prevalence of home dialysis patients was reported.}},
  articleno    = {{08968608211049882}},
  author       = {{van der Sluijs, Anita van Eck and van Jaarsveld, Brigit C. and Allen, Jennifer and Altabas, Karmela and Bechade, Clemence and Bonenkamp, Anna A. and Burkhalter, Felix and Clause, Anne-Lorraine and Corbett, Richard W. and Dekker, Friedo W. and Eden, Gabriele and Francois, Karlien and Gudmundsdottir, Helga and Lundstrom, Ulrika Hahn and de Laforcade, Louis and Lambie, Mark and Martin, Heike and Pajek, Jernej and Panuccio, Vincenzo and Ros-Ruiz, Silvia and Steubl, Dominik and Vega, Almudena and Wojtaszek, Ewa and Davies, Simon J. and Van Biesen, Wim and Abrahams, Alferso C.}},
  issn         = {{0896-8608}},
  journal      = {{PERITONEAL DIALYSIS INTERNATIONAL}},
  keywords     = {{Assisted peritoneal dialysis,end-stage kidney disease,home dialysis,practice variation,STAGE RENAL-DISEASE,QUALITY-OF-LIFE,HOME DIALYSIS,LONG-TERM,NEPHROLOGISTS,SURVIVAL,OPINION,CHOICE}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{08968608211049882:533--08968608211049882:541}},
  title        = {{Assisted peritoneal dialysis across Europe : practice variation and factors associated with availability}},
  url          = {{http://dx.doi.org/10.1177/08968608211049882}},
  volume       = {{41}},
  year         = {{2021}},
}

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