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Conference Paper: Automated peritoneal dialysis in Asia

TitleAutomated peritoneal dialysis in Asia
Authors
KeywordsAdequacy
Asia: health economics
Automated peritoneal dialysis
Uremia
Issue Date1999
PublisherMultimed, Inc. The Journal's web site is located at http://pdiconnect.com
Citation
Peritoneal Dialysis International, 1999, v. 19 suppl. 2, p. S125-S129 How to Cite?
AbstractThe socioeconomic statuses of Asian countries are diverse, and government reimbursement policies for renal replacement programs vary greatly from one country to another. Both factors affect not only the availability of treatment, but also the choice of dialysis modality. A close correlation is demonstrated between the dialysis treatment rate for end-stage renal disease (ESRD) and the gross domestic product (GDP) per capita income. A biphasic relationship with the GDP per capita income and the peritoneal dialysis (PD) utilization rate is observed, in that the countries with the highest and lowest treatment rates tend to have lower PD utilization rates, whereas countries with modest treatment rates tend to have higher PD utilization rates. In contrast, countries with high continuous ambulatory peritoneal dialysis (CAPD) utilization rates have the lowest automated peritoneal dialysis (APD) utilization rates. The low APD utilization rates are due to fact that, in most instances, patients themselves must purchase the APD machine, and the machines are relatively more expensive in Asian Pacific countries. Continuous cycling peritoneal dialysis (CCPD) is most frequently practiced. Generally, convenience for employment is the main indication for the utilization of APD. Other important indications are the convenience of treatment in young or elderly uremic patients. Contrary to the practice in CAPD treatment, detailed documentation of dialysis adequacy and nutritional status is not routinely done in patients undergoing APD treatment in most Asian Pacific countries. In conclusion, APD is an underdeveloped treatment modality in the renal replacement programs of Asian Pacific countries. The low utilization of APD is clearly influenced by non medical factors including government reimbursement policy and the cost of PD machines.
Persistent Identifierhttp://hdl.handle.net/10722/78278
ISSN
2015 Impact Factor: 1.298
2015 SCImago Journal Rankings: 0.683
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLai, KNen_HK
dc.contributor.authorLui, SLen_HK
dc.contributor.authorChan, DTMen_HK
dc.date.accessioned2010-09-06T07:41:07Z-
dc.date.available2010-09-06T07:41:07Z-
dc.date.issued1999en_HK
dc.identifier.citationPeritoneal Dialysis International, 1999, v. 19 suppl. 2, p. S125-S129en_HK
dc.identifier.issn0896-8608en_HK
dc.identifier.urihttp://hdl.handle.net/10722/78278-
dc.description.abstractThe socioeconomic statuses of Asian countries are diverse, and government reimbursement policies for renal replacement programs vary greatly from one country to another. Both factors affect not only the availability of treatment, but also the choice of dialysis modality. A close correlation is demonstrated between the dialysis treatment rate for end-stage renal disease (ESRD) and the gross domestic product (GDP) per capita income. A biphasic relationship with the GDP per capita income and the peritoneal dialysis (PD) utilization rate is observed, in that the countries with the highest and lowest treatment rates tend to have lower PD utilization rates, whereas countries with modest treatment rates tend to have higher PD utilization rates. In contrast, countries with high continuous ambulatory peritoneal dialysis (CAPD) utilization rates have the lowest automated peritoneal dialysis (APD) utilization rates. The low APD utilization rates are due to fact that, in most instances, patients themselves must purchase the APD machine, and the machines are relatively more expensive in Asian Pacific countries. Continuous cycling peritoneal dialysis (CCPD) is most frequently practiced. Generally, convenience for employment is the main indication for the utilization of APD. Other important indications are the convenience of treatment in young or elderly uremic patients. Contrary to the practice in CAPD treatment, detailed documentation of dialysis adequacy and nutritional status is not routinely done in patients undergoing APD treatment in most Asian Pacific countries. In conclusion, APD is an underdeveloped treatment modality in the renal replacement programs of Asian Pacific countries. The low utilization of APD is clearly influenced by non medical factors including government reimbursement policy and the cost of PD machines.en_HK
dc.languageengen_HK
dc.publisherMultimed, Inc. The Journal's web site is located at http://pdiconnect.comen_HK
dc.relation.ispartofPeritoneal Dialysis Internationalen_HK
dc.subjectAdequacyen_HK
dc.subjectAsia: health economicsen_HK
dc.subjectAutomated peritoneal dialysisen_HK
dc.subjectUremiaen_HK
dc.subject.meshFar Easten_HK
dc.subject.meshHumansen_HK
dc.subject.meshIncomeen_HK
dc.subject.meshPeritoneal Dialysis - economics - statistics & numerical data - utilizationen_HK
dc.subject.meshPeritoneal Dialysis, Continuous Ambulatory - utilizationen_HK
dc.subject.meshSocioeconomic Factorsen_HK
dc.titleAutomated peritoneal dialysis in Asiaen_HK
dc.typeConference_Paperen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0896-8608&volume=19 &issue=suppl 2&spage=S125&epage=S129&date=1999&atitle=Automated+peritoneal+dialysis+in+Asiaen_HK
dc.identifier.emailLai, KN: knlai@hku.hken_HK
dc.identifier.emailChan, DTM: dtmchan@hku.hken_HK
dc.identifier.authorityLai, KN=rp00324en_HK
dc.identifier.authorityChan, DTM=rp00394en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.pmid10406506-
dc.identifier.scopuseid_2-s2.0-0033394635en_HK
dc.identifier.hkuros41551en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0033394635&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume19en_HK
dc.identifier.issuesuppl. 2en_HK
dc.identifier.spageS125en_HK
dc.identifier.epageS129en_HK
dc.identifier.isiWOS:000081972900021-
dc.publisher.placeCanadaen_HK
dc.identifier.scopusauthoridLai, KN=7402135706en_HK
dc.identifier.scopusauthoridLui, SL=7102379130en_HK
dc.identifier.scopusauthoridChan, DTM=7402687700en_HK

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