International peritoneal dialysis training practices and the risk of peritonitis
| Autor: | Melissa Nataatmadja, Beth Piraino, Yeoungjee Cho, Yasuhiko Ito, David W. Johnson, Keith McCullough, Neil Boudville, Douglas S. Fuller, Ana Elizabeth Figueiredo, C.C. Szeto, Jeffrey Perl, Rathika Krishnasamy, Ronald L. Pisoni, Graham Woodrow, Talerngsak Kanjanabuch, Junhui Zhao, Isaac Teitelbaum |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Transplantation medicine.medical_specialty Adult patients business.industry medicine.medical_treatment Peritoneal dialysis training Peritonitis medicine.disease Peritoneal dialysis Nephrology Emergency medicine medicine Humans Prospective Studies business Prospective cohort study Peritoneal Dialysis Proportional Hazards Models Patient education |
| Zdroj: | Nephrology Dialysis Transplantation. 37:937-949 |
| ISSN: | 1460-2385 0931-0509 |
| DOI: | 10.1093/ndt/gfab298 |
| Popis: | Background The effects of training practices on outcomes of patients receiving peritoneal dialysis (PD) are poorly understood and there is a lack of evidence informing best training practices. This prospective cohort study aims to describe and compare international PD training practices and their association with peritonitis. Methods Adult patients on PD Results A total of 1376 PD patients from 120 facilities across seven countries were included. Training was most commonly performed at the facility (81%) by facility-affiliated nurses (87%) in a 1:1 setting (79%). In the UK, being trained by both facility and third-party nurses was associated with a reduced peritonitis risk [adjusted HR 0.31 (95% confidence interval 0.15–0.62) versus facility nurses only]. However, this training practice was utilized in only 5 of 14 UK facilities. No other training characteristics were convincingly associated with peritonitis risk. Conclusions There was no evidence to support that peritonitis risk was associated with when, where, how or how long PD patients are trained. |
| Databáze: | OpenAIRE |
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