title: Peritoneal Dialysis: A Scoping Review of Strategies to Maximize PD Utilization.
abstract: The percentage of end-stage renal disease (ESRD) patients treated with peritoneal dialysis (PD) has declined in many countries since the mid-1990s. Barriers to PD have been reviewed extensively in the literature, but evidence about strategies to address these barriers and maximize the safe and effective use of PD is lacking. We therefore decided to conduct a scoping review identifying strategies to maximize PD use in adults with ESRD. Our search strategy included the following online databases: MEDLINE (OVID), EMBASE, PubMed, Cochrane Controlled Trials Register, Current Controlled Trials, and Cochrane Database of Systematic Reviews for articles published from 1974 to November 2013. Experts in the field were contacted for information about other ongoing or unpublished studies. A complementary search was conducted in the gray literature. Websites of national, provincial or regional agencies were searched for documents regarding policies surrounding the use of PD. Individual dialysis centers need to identify barriers to increasing PD in their program and direct targeted strategies to maximize PD utilization. Our review highlights some effective strategies that may be used. Our review also highlights the need for further research into strategies to maximize PD utilization.
authors.affiliation: Cumming School of Medicine, University of Calgary, Calgary, AB, Canada mannb@ucalgary.ca.
authors.forename: Bikaramjit S
authors.initials: BS
authors.lastname: Mann
authors.affiliation: Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.|Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.|Alberta Kidney Disease Network, Calgary, AB, Canada.
authors.forename: Braden J
authors.initials: BJ
authors.lastname: Manns
authors.affiliation: Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
authors.forename: Lianne
authors.initials: L
authors.lastname: Barnieh
authors.affiliation: Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Oliver
authors.affiliation: Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
authors.forename: Daniel
authors.initials: D
authors.lastname: Devoe
authors.affiliation: Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
authors.forename: Dianne
authors.initials: D
authors.lastname: Lorenzetti
authors.affiliation: Department of Medicine, and University of Alberta, Calgary, AB, Canada.
authors.forename: Robert
authors.initials: R
authors.lastname: Pauly
authors.affiliation: Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.|Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.|Alberta Kidney Disease Network, Calgary, AB, Canada.
authors.forename: Robert R
authors.initials: RR
authors.lastname: Quinn
mesh_terms: D000328:Adult; D000416:Alberta; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D057240:Patient Preference; D010530:Peritoneal Dialysis / Q000706:statistics & numerical data*; D011379:Prognosis; D016032:Randomized Controlled Trials as Topic; D012720:Severity of Illness Index; D015996:Survival Rate; D016896:Treatment Outcome
keywords: Peritoneal dialysis; review; strategies; utilization