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

Anita van Eck van der Sluijs; Brigit C van Jaarsveld; Jennifer Allen; Karmela Altabas; Clémence Béchade; Anna A Bonenkamp; Felix Burkhalter; Anne-Lorraine Clause; Richard W Corbett; Friedo W Dekker; Gabriele Eden; Karlien François; Helga Gudmundsdottir; Ulrika Hahn Lundström; 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; Alferso C Abrahams

doi:10.1177/08968608211049882

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

Anita van Eck van der Sluijs, Brigit C van Jaarsveld, Jennifer Allen, Karmela Altabas, Clémence Béchade, Anna A Bonenkamp, Felix Burkhalter, Anne-Lorraine Clause, Richard W Corbett, Friedo W Dekker, Gabriele Eden, Karlien François, Helga Gudmundsdottir, Ulrika Hahn Lundström, Louis de Laforcade, Mark Lambie, Heike Martin, Jernej Pajek, Vincenzo Panuccio, Silvia Ros-RuizDominik Steubl, Almudena Vega, Ewa Wojtaszek, Simon J Davies, Wim Van Biesen, Alferso C Abrahams

Hjerteafd. Y

20 Citationer (Scopus)

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 χ2 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.

Originalsprog	Engelsk
Tidsskrift	Peritoneal Dialysis International
Vol/bind	41
Udgave nummer	6
Sider (fra-til)	533-541
Antal sider	9
ISSN	0896-8608
DOI	https://doi.org/10.1177/08968608211049882
Status	Udgivet - nov. 2021

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10.1177/08968608211049882

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van Eck van der Sluijs, A., van Jaarsveld, B. C., Allen, J., Altabas, K., Béchade, C., Bonenkamp, A. A., Burkhalter, F., Clause, A.-L., Corbett, R. W., Dekker, F. W., Eden, G., François, K., Gudmundsdottir, H., Lundström, U. H., de Laforcade, L., Lambie, M., Martin, H., Pajek, J., Panuccio, V., ... 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

van Eck van der Sluijs, A, van Jaarsveld, BC, Allen, J, Altabas, K, Béchade, C, Bonenkamp, AA, Burkhalter, F, Clause, A-L, Corbett, RW, Dekker, FW, Eden, G, François, K, Gudmundsdottir, H, Lundström, UH, de Laforcade, L, Lambie, M, Martin, H, Pajek, J, Panuccio, V, Ros-Ruiz, S, Steubl, D, Vega, A, Wojtaszek, E, Davies, SJ, Van Biesen, W & Abrahams, AC 2021, 'Assisted peritoneal dialysis across Europe: Practice variation and factors associated with availability', Peritoneal Dialysis International, bind 41, nr. 6, s. 533-541. https://doi.org/10.1177/08968608211049882

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title = "Assisted peritoneal dialysis across Europe: Practice variation and factors associated with availability",

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 χ2 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 = "Aged, Europe, Hemodialysis, Home, Humans, Kidney Failure, Chronic/epidemiology, Nephrology, Peritoneal Dialysis",

author = "{van Eck van der Sluijs}, Anita and {van Jaarsveld}, {Brigit C} and Jennifer Allen and Karmela Altabas and Cl{\'e}mence B{\'e}chade and Bonenkamp, {Anna A} and Felix Burkhalter and Anne-Lorraine Clause and Corbett, {Richard W} and Dekker, {Friedo W} and Gabriele Eden and Karlien Fran{\c c}ois and Helga Gudmundsdottir and Lundstr{\"o}m, {Ulrika Hahn} and {de Laforcade}, Louis and Mark Lambie and Heike Martin and Jernej Pajek and Vincenzo Panuccio and Silvia Ros-Ruiz and Dominik Steubl and Almudena Vega and Ewa Wojtaszek and Davies, {Simon J} and {Van Biesen}, Wim and Abrahams, {Alferso C}",

year = "2021",

month = nov,

doi = "10.1177/08968608211049882",

language = "English",

volume = "41",

pages = "533--541",

journal = "Peritoneal Dialysis International",

issn = "0896-8608",

publisher = "Multimed, Inc",

number = "6",

}

TY - JOUR

T1 - Assisted peritoneal dialysis across Europe

T2 - Practice variation and factors associated with availability

AU - van Eck van der Sluijs, Anita

AU - van Jaarsveld, Brigit C

AU - Allen, Jennifer

AU - Altabas, Karmela

AU - Béchade, Clémence

AU - Bonenkamp, Anna A

AU - Burkhalter, Felix

AU - Clause, Anne-Lorraine

AU - Corbett, Richard W

AU - Dekker, Friedo W

AU - Eden, Gabriele

AU - François, Karlien

AU - Gudmundsdottir, Helga

AU - Lundström, Ulrika Hahn

AU - de Laforcade, Louis

AU - Lambie, Mark

AU - Martin, Heike

AU - Pajek, Jernej

AU - Panuccio, Vincenzo

AU - Ros-Ruiz, Silvia

AU - Steubl, Dominik

AU - Vega, Almudena

AU - Wojtaszek, Ewa

AU - Davies, Simon J

AU - Van Biesen, Wim

AU - Abrahams, Alferso C

PY - 2021/11

Y1 - 2021/11

N2 - 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 χ2 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.

AB - 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 χ2 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.

KW - Aged

KW - Europe

KW - Hemodialysis, Home

KW - Humans

KW - Kidney Failure, Chronic/epidemiology

KW - Nephrology

KW - Peritoneal Dialysis

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U2 - 10.1177/08968608211049882

DO - 10.1177/08968608211049882

M3 - Journal article

C2 - 34672219

SN - 0896-8608

VL - 41

SP - 533

EP - 541

JO - Peritoneal Dialysis International

JF - Peritoneal Dialysis International

IS - 6

ER -

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

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