Multicenter Analysis on the Impact of Nephrologist-Initiated Catheter Insertion Program on Peritoneal Dialysis Penetration

The demands for timely catheter insertion have spurred the growth of peritoneoscopic catheter insertion program by nephrologists in Malaysia. We performed a multicenter analysis to study its impact on the growth of peritoneal dialysis (PD) population. Data were collected retrospectively from five ce...

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Bibliographic Details
Published in:	Seminars in dialysis Vol. 25; no. 5; pp. 569 - 573
Main Authors:	Ng, Eng Khim, Goh, Bak Leong, Chew, Siew Eng, Tan, Chwee Choon, Ching, Chen Hua, Sha'ariah, Md Yusuf Wan, Rozina, Mohamed Ghazalli
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Publishing Ltd 01-09-2012
Subjects:	Catheterization - methods Female Humans Kidney Failure, Chronic - epidemiology Kidney Failure, Chronic - therapy Malaysia - epidemiology Male Middle Aged Peritoneal Dialysis - instrumentation Practice Patterns, Physicians' - statistics & numerical data Survival Analysis Treatment Outcome Malaysia
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Summary:	The demands for timely catheter insertion have spurred the growth of peritoneoscopic catheter insertion program by nephrologists in Malaysia. We performed a multicenter analysis to study its impact on the growth of peritoneal dialysis (PD) population. Data were collected retrospectively from five centers at the point of program initiation until December 2009. In Center 1, with this program, PD population continued to grow from 25 patients in 2006 to 120 in 2009. In center 2, the program began in 2005, but comprised only 28.6% of total insertions. From 2007 onwards, nephrologists had overtaken the surgeon, inserting from 85% to 97% of the total insertions. In center 3, with the program at its infancy, a modest growth in its PD population was shown. In center 4, nephrologists maintained an annual average of 41.8% of total catheter insertions, and thus maintaining a stable PD population. In center 5, surgeon‐assisted PD catheter insertions helped to maintain the growth of its PD, seeing lesser impact from this program. Subanalysis showed that 1‐year catheter survival in Center 1 was 85.4%. This study on PD catheter insertion program by nephrologists showed the greatest impact on new center and center experiencing suboptimal catheter insertions by traditional providers.
Bibliography:	ark:/67375/WNG-36X7HR43-B ArticleID:SDI1051 istex:2F0D1752A2B36B3A28ED39E621C1AA97555B4DF5 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0894-0959 1525-139X
DOI:	10.1111/j.1525-139X.2012.01051.x