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What are the determinants of PD technique failure and what is the impact of this on uptake and retention of patients to peritoneal dialysis?

Safe People

Organisation name

UHNM NHS Trust

Safe Projects

Project ID

ILD20

Lay summary

The use of peritoneal dialysis has been reducing in recent years despite this treatment being shown to provide similar survival and better quality of life for patients. It is known that wide variation exists between renal centres in terms of peritoneal dialysis success but this has not been explored recently in detail. We aim to explore the relationship between how long someone is able to continue with peritoneal dialysis and renal centre/physician practice patterns. Factors such as physician enthusiasm, provision of out of hours specialist advice and also programme size intuitively suggest a more successful peritoneal dialysis programme but this is not known. Patients choosing to undertake peritoneal dialysis undergo education and preparation for this treatment often making changes within their homes to create space to dialyse. They must undergo catheter insertion and then train to use this catheter to perform dialysis exchanges in a safe and sterile manner. Once trained patients would benefit from using this technique for as long as they wish to. Premature failure of the technique would expose patients to extra hospital admissions, clinic visits or procedures to change dialysis type and preventable morbidity related to the failure of their chosen dialysis treatment. The time spent using this form of dialysis therapy may be influenced by how care is delivered by their renal centre and if this study can suggest practice patterns associated with longer technique survival then these interventions can be trialed in a future interventional study to confirm the effect they have on the survival of the dialysis technique.

Latest approval date

11/06/2018

Safe Data

Dataset(s) name