Peritoneal dialysis: Status report in South and South East Asia.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bhargava Vinant, Jasuja Sanjiv, Tang Sydney Chi-Wai, Bhalla Anil K, Sagar Gaurav, Jha Vivekanand, Ramachandran Raja, Sahay Manisha, Alexander Suceena, Vachharajani Tushar, Lydia Aida, Mostafi Mamun, Pisharam Jayakrishnan K, Jacob Chakko, Gunawan Atma, Leong Goh Bak, Thwin Khin Thida, Agrawal Rajendra Kumar, Vareesangthip Kriengsak, Tanchanco Roberto, Choong Lina, Herath Chula, Lin Chih-Ching, Akhtar Syed Fazal, Alsahow Ali, Rana Devender Singh, Rajapurkar Mohan M, Kher Vijay, Verma Shalini, Krishnaswamy Sampathkumar, Gupta Amit, Bahl Anupam, Gupta Ashwani, Khanna Umesh B, Varughese Santosh, Gallieni Maurizio
Аннотация
METHODS: The National Nephrology Societies of the region responded to a questionnaire on KRT practices. The responses were based on the latest registry data, acceptable community-based studies and societal perceptions. The representative countries were divided into high income and higher-middle income (HI & HMI) and low income and lower-middle income (LI & LMI) groups.
RESULTS: Data provided by 15 countries showed almost similar percentage of GDP as health expenditure (4%-7%). But there was a significant difference in per capita income (HI & HMI -US$ 28 129 vs. LI & LMI - US$ 1710.2) between the groups. Even after having no significant difference in monthly cost of haemodialysis (HD) and PD in LI & LMI countries, they have poorer PD utilization as compared to HI & HMI countries (3.4% vs. 10.1%); the reason being lack of formal training/incentives and time constraints for the nephrologist while lack of reimbursement and poor general awareness of modalities has been a snag for the patients. The region expects ≥10% PD growth in the near future. Hong Kong and Thailand with 'PD first' policy have the highest PD utilization.
CONCLUSION: Important deterrents to PD underutilization were lack of PD centric policies, lackadaisical patient/physician's attitude, lack of structured patient awareness programs, formal training programs and affordability.