Uptake and Outcomes of Peritoneal Dialysis among Aboriginal and Torres Strait Islander People: Analysis of Registry Data.

Aboriginal and Torres Strait Islander people associations outcomes peritoneal dialysis peritonitis risk-factors uptake

Journal

Kidney international reports
ISSN: 2468-0249
Titre abrégé: Kidney Int Rep
Pays: United States
ID NLM: 101684752

Informations de publication

Date de publication:
May 2024
Historique:
received: 16 10 2023
revised: 24 01 2024
accepted: 29 01 2024
medline: 6 5 2024
pubmed: 6 5 2024
entrez: 6 5 2024
Statut: epublish

Résumé

Peritoneal dialysis (PD) enables people to use kidney replacement therapy (KRT) outside of healthcare-dependent settings, a strong priority of Aboriginal and Torres Strait Islander people. We undertook an observational study analyzing registry data to describe access to PD and its outcome as the first KRT among Aboriginal and Torres Strait Islander people between January 1, 2004 and December 31 2020. Out of 4604 Aboriginal and Torres Strait Islander people, reflecting 10.4% of all Australians commencing KRT, PD was the first KRT modality among 665 (14.4%). PD utilization was 17.2% in 2004 to 2009 and 12.7% in 2016 to 2020 ( Aboriginal and Torres Strait Islander people who utilized PD as their first KRT during 2004 to 2020 recorded a higher peritonitis rate than the current benchmark of 0.4 episodes/patient-years. The cure rates have worsened recently, which should be a big concern. There is an exigent need to address these gaps in kidney care for Aboriginal and Torres Strait Islander people.

Identifiants

DOI: 10.1016/j.ekir.2024.01.059 PMID: 38707791 PMC: PMC11068974
pubmed: 38707791
doi: 10.1016/j.ekir.2024.01.059
pii: S2468-0249(24)00071-8
pmc: PMC11068974
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1484-1495

Informations de copyright

© 2024 Published by Elsevier, Inc., on behalf of the International Society of Nephrology.

Auteurs

Ashik Hayat (A)

Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Australia.
Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.
Translational Research Institute, Brisbane, Australia.

Yeoungjee Cho (Y)

Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Australia.
Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.
Translational Research Institute, Brisbane, Australia.

E M Pascoe (EM)

Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.

Rathika Krishnasamy (R)

Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.
Sunshine Coast University Hospital, Queensland, Australia.

Monique Borlace (M)

Department of Nephrology, Royal Adelaide Hospital, Adelaide, Australia.

Jenny Chen (J)

Department of Renal Medicine, Wollongong Hospital, Wollongong, Australia.
School of Medicine, University of Wollongong, Wollongong, Australia.

Neil Boudville (N)

Medical School, University of Western Australia, Perth, Australia.
Department of Renal Medicine, Sir Charles Gairdner Hospital, Perth, Australia.

Kamal Sud (K)

Nepean KIdney Research Centre, Department of Renal Medicine, Nepean Hospital, Sydney, Australia.
Faculty of Medicine and Health, University of Sydney, Sydney, Australia.

M Varnfield (M)

Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.
Australian e-Health Research Centre; CSIRO, Brisbane, Australia.

Ross Francis (R)

Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Australia.
Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.
Translational Research Institute, Brisbane, Australia.

Rochelle Pitt (R)

Inala Indigenous Health Services, Queensland, Australia.

Jaquelyne T Hughes (JT)

Royal Darwin Hospital, Northern Territory, Darwin, Australia.
Rural and Remote Health, College of Medicine and Public Health, Flinders University Northern Territory, Nhulunbuy, Australia.
Wagadagam tribe of near west Torres Strait.

David Wayne Johnson (DW)

Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Australia.
Australasian Kidney Trials Network, The University of Queensland, Brisbane, Australia.
Translational Research Institute, Brisbane, Australia.

Classifications MeSH