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Inequality of PD Initiation based on ethnicity and SE status.
Safe People
UK Renal Registry
Safe Projects
ILD134
Home dialysis (Peritoneal Dialysis and Home Haemodialysis) for patients with end-stage kidney disease is the process of replacing the function of the kidneys at home mechanically or manually while awaiting transplant. In comparison to dialysis in a kidney centre, home dialysis offers patients the benefits of being in control of their therapy and having a less restrictive lifestyle, which promotes better clinical outcomes and quality of life. Despite these benefits, the take up of home dialysis is low. There is disagreement in the research about whether there are differences between ethnic groups in people's likelihood of starting home dialysis. Some studies show differences and others do not. It is therefore important to investigate ethnic group differences and other factors that may be associated with home dialysis uptake, to help address any variation that exists. We will look at children and adults on dialysis in England and Wales between 2008-2021. We will explore differences in the rates of people taking up home dialysis and whether these vary across ethnicities, deprivation groups, age, and sex. We will look at the rates of home dialysis at each centre. Where a centre has a low rate of home dialysis, we will assess the age, sex, ethnicity, referrals to nephrologist, lab values, comorbidity, centre status, degree of rurality, and distance to the centre for the patients at that centre. The findings of this study will help us find and address any inequities or barriers for patients taking up home dialysis.
14/12/2023