UK Renal Registry 13th Annual Report (December 2010): Chapter 15 UK Renal Centre Survey Results 2010: RRT Incidence and Use of Home Dialysis Modalities

作者：Castledine Clare^*; Gilg Julie; Rogers Chris; Ben Shlomo Yoav; Caskey Fergus

来源：Nephron Clinical Practice, 2011, 119: C255-C267.

DOI：10.1159/000331783

• Dialysis
• End stage renal disease
• Guidelines
• Haemodialysis
• Incidence
• Peritoneal dialysis
• Personnel
• Primary care
• Renal replacement therapy
• Service delivery
• Treatment modality

Introduction: RRT incidence rates and the proportion of patients using a home dialysis modality (peritoneal or home haemodialysis) varies widely between centres and persists even after area differences in age, ethnicity and social deprivation structure are taken into account. A nationwide survey was undertaken to identify possible drivers of this variation. Methods: A systematic literature review followed by a two-stage Delphi consensus technique was employed to identify renal centre characteristics and practice patterns that may be important in determining either RRT incidence or home modality usage. Results: All 72 (100%) of UK adult renal centres responded. Questions about staffing numbers, interface with primary care, interface with other secondary care sites, capacity within the HD programme, constituents of pre-dialysis education programmes, conservative management programmes, range of treatments available, dialysis access and training and physician attitudes to home modalities were included. Conclusions: There was wide variation in practice patterns and centre characteristics across the UK. Overall, physician enthusiasm for home dialysis modalities was greater than the actual usage of home dialysis.

• 出版日期2011