title: Peritoneal dialysis practice in Australia and New Zealand: A call to sustain the action.
abstract: This paper updates a previous 'Call to Action' paper (Nephrology 2011; 16: 19-29) that reviewed key outcome data for Australian and New Zealand peritoneal dialysis patients and made recommendations to improve care. Since its publication, peritonitis rates have improved significantly, although they have plateaued more recently. Peritoneal dialysis patient and technique survival in Australian and New Zealand have also improved, with a reduction in the proportion of technique failures attributed to 'social reasons'. Despite these improvements, technique survival rates overall remain lower than in many other parts of the world. This update includes additional practical recommendations based on published evidence and emerging initiatives to further improve outcomes.
authors.affiliation: Department of Nephrology, University of Queensland at Princess Alexandra Hospital, Brisbane, Queensland, Australia.
authors.forename: David W
authors.identifier: http://orcid.org/0000-0002-4112-5550
authors.initials: DW
authors.lastname: Mudge
authors.affiliation: School of Medicine and Pharmacology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
authors.forename: Neil
authors.initials: N
authors.lastname: Boudville
authors.affiliation: Monash Medical Centre, Melbourne, Victoria, Australia.
authors.forename: Fiona
authors.initials: F
authors.lastname: Brown
authors.affiliation: Department of Renal Medicine, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors.forename: Philip
authors.initials: P
authors.lastname: Clayton
authors.affiliation: Baxter Healthcare, Sydney, New South Wales, Australia.
authors.forename: Michelle
authors.initials: M
authors.lastname: Duddington
authors.affiliation: Royal Melbourne Hospital, Melbourne, Victoria, Australia.|Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia.
authors.forename: Stephen
authors.initials: S
authors.lastname: Holt
authors.affiliation: Department of Nephrology, University of Queensland at Princess Alexandra Hospital, Brisbane, Queensland, Australia.
authors.forename: David W
authors.initials: DW
authors.lastname: Johnson
authors.affiliation: Department of Nephrology, Royal Hobart Hospital & Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Jose
authors.affiliation: Renal Unit, Whangarei Hospital, Whangarei, New Zealand.
authors.forename: Walaa
authors.initials: W
authors.lastname: Saweirs
authors.affiliation: Nepean Clinical School, and Department of Renal Medicine, Nepean Hospital, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Kamal
authors.initials: K
authors.lastname: Sud
authors.affiliation: Renal Department, Middlemore Hospital, Auckland, New Zealand.
authors.forename: David
authors.initials: D
authors.lastname: Voss
authors.affiliation: Department of Renal Medicine, The Alfred Hospital, Melbourne, Victoria, Australia.
authors.forename: Rowan
authors.initials: R
authors.lastname: Walker
mesh_terms: D001315:Australia; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000628:therapy*; D009398:Nephrology / Q000592:standards; D009520:New Zealand; D010353:Patient Education as Topic; D018579:Patient Selection; D010530:Peritoneal Dialysis / Q000009:adverse effects / Q000592:standards; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010538:Peritonitis / Q000209:etiology / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards; D017064:Process Assessment, Health Care / Q000592:standards; D058996:Quality Improvement / Q000592:standards; D019984:Quality Indicators, Health Care / Q000592:standards; D012307:Risk Factors; D012944:Social Support; D013997:Time Factors; D016896:Treatment Outcome
keywords: continuous ambulatory peritoneal dialysis; outcome; peritoneal dialysis; peritonitis; quality indicator; technique survival