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      Call for Papers: Green Renal Replacement Therapy: Caring for the Environment

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      About Blood Purification: 3.0 Impact Factor I 5.6 CiteScore I 0.83 Scimago Journal & Country Rank (SJR)

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      Home visit program improves technique survival in peritoneal dialysis.

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          Abstract

          Peritoneal dialysis (PD) is a home therapy, and technique survival is related to the adherence to PD prescription at home. The presence of a home visit program could improve PD outcomes. We evaluated its effects on clinical outcome during 1 year of follow-up.

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          The cost of renal dialysis in a UK setting--a multicentre study.

          Keshwar Baboolal, Philip McEwan, Seema Sondhi … (2008)
          The UK National Health Service (NHS) will fund renal services using Payment by Results (PbR), from 2009. Central to the success of PbR will be the creation of tariffs that reflect the true cost of medical services. We have therefore estimated the cost of different dialysis modalities in the Cardiff and Vale NHS Trust and six other hospitals in the UK. We used semi-structured interviews with nephrologists, head nurses and business managers to identify the steps involved in delivering the different dialysis modalities. We assigned costs to these using published figures or suppliers' published price lists. The study used mixed costing methods. Dialysis costs were estimated by a combination of microcosting and a top-down approach. Where we did not have access to detailed accounts, we applied values for Cardiff. The most efficient modalities were automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD), the mean annual costs of which were pound21 655 and pound15 570, respectively. Hospital-based haemodialysis (HD) cost pound35 023 per annum and satellite-unit-based HD cost pound32 669. The cost of home-based HD was pound20 764 per year (based on data from only one unit). The main cost drivers for PD were the costs of solutions and management of anaemia. For HD they were costs of disposables, nursing, the overheads associated with running the unit and management of anaemia. Renal tariffs for PbR need to reflect the true cost of dialysis provision if choices about modalities are not to be influenced by erroneous estimates of cost. Knowledge of the true costs of modalities will also maximize the number of established renal failure patients treated by dialysis within the limited funds available from the NHS.
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            Health care costs of peritoneal dialysis technique failure and dialysis modality switching.

            Betty K Chui, Braden J. Manns, Neesh Pannu … (2013)
            Although there is a strong economic rationale in favor of peritoneal dialysis (PD) over hemodialysis (HD), the potentially costly effect of PD technique failure is an important consideration in PD program promotion that is unknown.
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              Patient and physician predictors of peritoneal dialysis technique failure: a population based, retrospective cohort study.

              Mala Chidambaram, Joanne Bargman, Robert R. Quinn … (2024)
              The use of peritoneal dialysis (PD) has been declining over the past decade in Canada, and high technique failure rates have been implicated. Studies have examined clinical risk factors for PD technique failure, but few studies have addressed sociodemographic factors driving technique failure. There are no studies examining the effect of physician factors on technique failure.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): Blood Purif.
                Title: Blood purification
                ISSN (Electronic): 1421-9735
                ISSN (Print): 0253-5068
                Publication date (Electronic): 2014
                Volume: 37
                Issue: 4
                Affiliations
                [1 ] Department of Nephrology, Dialysis, and Kidney Transplant, San Bortolo Hospital, Vicenza, Italy.
                Article
                Publisher Item ID: 000365168
                DOI: 10.1159/000365168
                PubMed ID: 25133487
                SO-VID: cd6ab4da-bd74-4976-a72e-b2194f433f91
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