title: Managing peritoneal dialysis (PD)--factors that influence patients' modification of their recommended dialysis regimen. A European study of 376 patients.
abstract: OBJECTIVE
  The purpose of the study was to assess the prevalence and extent of missed peritoneal dialysis (PD) exchanges and to identify possible predictors for regimen modification.
  
  
  METHODS
  The study was a cross sectional postal survey of PD patients. Patients were asked to complete a single questionnaire looking at factors that influenced their management of the prescribed regimen.
  
  
  METHODS
  551 patients were invited to participate in the study from 17 centres across three European countries; 10 centres from Belgium, 5 from Italy and 2 from the UK. Patients on continuous ambulatory peritoneal dialysis (CAPD), CAPD and Quantum, or automated peritoneal dialysis (APD) for more than three months and at least 18 years old were included in the study. 376 out of 551 questionnaires were completed; a response rate of 68%.
  
  
  RESULTS
  20% (n=67) of those who responded to the questionnaire admitted to modifying their treatment in the previous month. Those who were more likely to modify their treatment were younger, employed, had greater contact with the PD team, were on APD 10 hours or longer and were less satisfied with their APD treatment.
  
  
  CONCLUSIONS
  Many of the patients self-reported modifying their dialysis regimen and possible predictors were highlighted from this study. By trying to identifying individual patients who do modify treatment healthcare professionals can target information that can support the patient in making safer treatment modification choices.
authors.affiliation: Addenbrooke's Dialysis Centre, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. jane.hollis@addenbrookes.nhs.uk
authors.forename: Jane
authors.initials: J
authors.lastname: Hollis
authors.forename: Wendy
authors.initials: W
authors.lastname: Harman
authors.forename: T
authors.initials: T
authors.lastname: Goovearts
authors.forename: V
authors.initials: V
authors.lastname: Paris
authors.forename: G
authors.initials: G
authors.lastname: Chivers
authors.forename: J M
authors.initials: JM
authors.lastname: Hooper
authors.forename: S
authors.initials: S
authors.lastname: Begg
authors.forename: L
authors.initials: L
authors.lastname: Curtis
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001530:Belgium; D003430:Cross-Sectional Studies; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007558:Italy; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009042:Motivation; D015404:Nursing Methodology Research; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D010530:Peritoneal Dialysis / Q000379:methods / Q000523:psychology; D017410:Practice Guidelines as Topic; D055656:Prescriptions / Q000706:statistics & numerical data; D011369:Professional-Patient Relations; D012307:Risk Factors; D012648:Self Care / Q000379:methods / Q000523:psychology; D011795:Surveys and Questionnaires; D013997:Time Factors; D006113:United Kingdom