title: Key factors for a high-quality peritoneal dialysis program--the role of the PD team and continuous quality improvement.
abstract: The proportion of end-stage renal disease (ESRD) patients on peritoneal dialysis (PD) has increased very fast in China over the last decade. Renji Hospital, affiliated with Shanghai Jiaotong University School of Medicine, is a recognized high-quality PD unit with a high PD utilization rate, excellent patient and technique survival (1-year and 5-year patient survival rate of 93% and 71%, and 1-year and 5-year technique survival of 96% and 82%, respectively), low peritonitis rate and a well-documented good quality of life of the treated patients. We believe that a dedicated and experienced PD team, a structured patient training program, continuous patient support, establishing and utilizing standardized protocols, starting PD with low dialysis dose, monitoring key performance indicators (KPIs), and continuous quality improvement (CQI) are the key factors underlying this successful PD program.
authors: Renal Division, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai 200127, China.
authors: Wei
authors: W
authors: Fang
authors: Renal Division, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai 200127, China.
authors: Zhaohui
authors: Z
authors: Ni
authors: Renal Division, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Center for Peritoneal Dialysis Research, Shanghai 200127, China.
authors: Jiaqi
authors: J
authors: Qian
mesh_terms: D002681:China; D005260:Female; D006436:Hemodialysis Units, Hospital / Q000458:organization & administration*; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D010530:Peritoneal Dialysis / Q000379:methods / Q000706:statistics & numerical data*; D011379:Prognosis; D058996:Quality Improvement; D011788:Quality of Life; D018570:Risk Assessment; D015996:Survival Rate; D016896:Treatment Outcome
keywords: Peritoneal dialysis; continuous quality improvement; key performance indicators; peritonitis rate; survival; training