Peritoneal dialysis: Status report in South and South East Asia.

Autor: Bhargava V; Department of Nephrology, Sir Ganga Ram Hospital, New Delhi, India., Jasuja S; Department of Nephrology, Indraprastha Apollo Hospital, New Delhi, India., Tang SC; Department of Nephrology, Hong Kong Society of Nephrology, Queen Mary Hospital, Pok Fu Lam, Hong Kong., Bhalla AK; Department of Nephrology, Sir Ganga Ram Hospital, New Delhi, India., Sagar G; Department of Nephrology, Indraprastha Apollo Hospital, New Delhi, India., Jha V; Chair of global Kidney Health, George Institute of Global Health, New Delhi, India., Ramachandran R; Department of Nephrology, PGIMER, Chandigarh, India., Sahay M; Department of Nephrology, Osmania General Hospital, Hyderabad, India., Alexander S; Department of Nephrology, Christian Medical College, Vellore, India., Vachharajani T; Department of Nephrology, Cleveland Clinic, Cleveland, Ohio, USA., Lydia A; Department of Nephrology&Hypertension, Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Jakarta, Indonesia., Mostafi M; Department of Nephrology, Armed Forces Medical College, Dhaka, Bangladesh., Pisharam JK; Department of Nephrology, Ministry of Health, Bandar Seri Begawan, Brunei., Jacob C; Department of Nephrology, Bangalore Baptist Hospital, Bangalore, India., Gunawan A; Department of Nephrology, Brawijaya University, Malang city, Indonesia., Leong GB; Department of Nephrology, Serdang Hospital, Kajang, Malaysia., Thwin KT; Department of Nephrology, University Of Medicine, Yangon, Myanmar., Agrawal RK; Department of Nephrology, Bir Hospital, Kathmandu, Nepal., Vareesangthip K; Department of Nephrology, Siriraj Hospital, Mahidol University, Khet Bangkok Moi, Thailand., Tanchanco R; Department of Nephrology, The Medical City, Manila, Philippines., Choong L; Department of Nephrology, Singapore General Hospital, Singapore, Singapore., Herath C; Department of Nephrology, Sri Jayewardenepura General Hospital, Kotte, Sri Lanka., Lin CC; Department of Nephrology, Taipei Veterans General Hospital, Teipei city, Taiwan., Akhtar SF; Department of Nephrology, Sindh Institute of Urology and Transplantation, karachi, Pakistan., Alsahow A; Department of Nephrology, Jahra Hospital, Al-Jahra, Kuwait., Rana DS; Department of Nephrology, Sir Ganga Ram Hospital, New Delhi, India., Rajapurkar MM; Department of Nephrology, Muljibhai Patel Urological Hospital, Gujrat, India., Kher V; Department of Nephrology, Medanta Hospital, Gurugram, Haryana, India., Verma S; Clinical Research, AVATAR foundation, New Delhi, India., Krishnaswamy S; Department of Nephrology, Meenakshi Mission Hospital and Research Centre, India., Gupta A; Department of Nephrology, Apollo Medics Hospital, Kanpur-Lucknow, Uttar Pradesh, India., Bahl A; Department of Nephrology, Indraprastha Apollo Hospital, New Delhi, India., Gupta A; Department of Nephrology, Sir Ganga Ram Hospital, New Delhi, India., Khanna UB; Department of Nephrology, Lancelot Kidney and GI Centre, Mumbai, India., Varughese S; Department of Nephrology, Christian Medical College, Vellore, India., Gallieni M; 'L. Sacco' Department of Biomedical and Clinical Sciences, University of Milano, Milano, Italy.
Jazyk: angličtina
Zdroj: Nephrology (Carlton, Vic.) [Nephrology (Carlton)] 2021 Nov; Vol. 26 (11), pp. 898-906. Date of Electronic Publication: 2021 Aug 06.
DOI: 10.1111/nep.13949
Abstrakt: Background: Peritoneal dialysis (PD) as a modality of kidney replacement therapy (KRT) is largely underutilized globally. We analyzed PD utilization, impact of economic status, projected growth and impact of state policy(s) on PD growth in South Asia and Southeast Asia (SA&SEA) region.
Methods: The National Nephrology Societies of the region responded to a questionnaire on KRT practices. The responses were based on the latest registry data, acceptable community-based studies and societal perceptions. The representative countries were divided into high income and higher-middle income (HI & HMI) and low income and lower-middle income (LI & LMI) groups.
Results: Data provided by 15 countries showed almost similar percentage of GDP as health expenditure (4%-7%). But there was a significant difference in per capita income (HI & HMI -US$ 28 129 vs. LI & LMI - US$ 1710.2) between the groups. Even after having no significant difference in monthly cost of haemodialysis (HD) and PD in LI & LMI countries, they have poorer PD utilization as compared to HI & HMI countries (3.4% vs. 10.1%); the reason being lack of formal training/incentives and time constraints for the nephrologist while lack of reimbursement and poor general awareness of modalities has been a snag for the patients. The region expects ≥10% PD growth in the near future. Hong Kong and Thailand with 'PD first' policy have the highest PD utilization.
Conclusion: Important deterrents to PD underutilization were lack of PD centric policies, lackadaisical patient/physician's attitude, lack of structured patient awareness programs, formal training programs and affordability.
(© 2021 Asian Pacific Society of Nephrology.)
Databáze: MEDLINE
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