November 1, 2010

Patient Awareness and Initiation of Peritoneal Dialysis

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In a cohort of 1621 dialysis patients surveyed between 2005-2007 as part of The United States Renal Data System Comprehensive Dialysis Study,  the authors found that although 61% of subjects surveyed had Peritoneal Dialysis discussed with them prior to dialysis initiation, only 10.9% of such informed patients chose PD.  After adjustment for patient characteristics and comorbid conditions,  the study found large geographic variation in PD use across the United States as well as large variation in PD use by dialysis provider. The authors conclude that further study is needed to understand the factors responsible for dialysis modality selection among US dialysis patients.

See the accompanying editorial
http://archinte.ama-assn.org/cgi/content/full/archinternmed.2010.370v1?etoc

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