Does catheter insertion by nephrologists improve peritoneal dialysis utilization? A multicenter analysis

Arif Asif, Timothy A. Pflederer, Cristovao F. Vieira, Jorge Diego, David Roth, Anil Agarwal

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

In contrast to hemodialysis (HD), peritoneal dialysis (PD) remains an underutilized form of renal replacement therapy in the United States. Although a variety of factors have been deemed responsible, timely insertion of a PD catheter may also be a contributory factor. We conducted a multicenter analysis to examine whether the establishment of a program for PD catheter insertion by nephrologists has a positive impact on the growth in the number of patients using PD. Data for catheter insertion performed by nephrologists were collected from three centers. Any change in the prevalent PD population at each respective center was compared to the number of PD patients during the period having the traditional surgical approach. Nephrologists at the three centers used the peritoneoscopic technique and performed catheter insertion under local anesthesia. In center 1, the PD population remained stable at between 38 and 45 patients (approximately 16% of the total end-stage renal disease [ESRD] population) from 1993 to 2001. Nephrologists initiated a program for PD catheter insertion in 2001. The number of PD patients has increased to 101 (32% of the ESRD population). In center 2, the PD population remained stable at between 70 and 78 patients (approximately 17%) between 1988 and 1990. Catheter insertion by interventional nephrologists began in 1991. The number of PD patients has increased to 125 (22%). In center 3, the PD population remained at 20-30 patients (approximately 18%) between 1988 and 1991. Catheter placement by nephrologists was initiated in 1991. The number of PD patients increased to 97 (27%). Catheter insertion by interventional nephrologists was suspended in 2001. The number of PD patients has gradually declined to 25 (6%). This study suggests that catheter insertion by the nephrologist can have a positive impact on the utilization of PD.

Original languageEnglish
Pages (from-to)157-160
Number of pages4
JournalSeminars in Dialysis
Volume18
Issue number2
DOIs
StatePublished - Mar 1 2005

Fingerprint

Peritoneal Dialysis
Catheters
Nephrologists
Population Dynamics
Population
Chronic Kidney Failure
Renal Replacement Therapy
Local Anesthesia
Renal Dialysis

ASJC Scopus subject areas

  • Nephrology

Cite this

Does catheter insertion by nephrologists improve peritoneal dialysis utilization? A multicenter analysis. / Asif, Arif; Pflederer, Timothy A.; Vieira, Cristovao F.; Diego, Jorge; Roth, David; Agarwal, Anil.

In: Seminars in Dialysis, Vol. 18, No. 2, 01.03.2005, p. 157-160.

Research output: Contribution to journalArticle

Asif, Arif ; Pflederer, Timothy A. ; Vieira, Cristovao F. ; Diego, Jorge ; Roth, David ; Agarwal, Anil. / Does catheter insertion by nephrologists improve peritoneal dialysis utilization? A multicenter analysis. In: Seminars in Dialysis. 2005 ; Vol. 18, No. 2. pp. 157-160.
@article{1ab62e6bc10f4741b70c99929ca7bdb0,
title = "Does catheter insertion by nephrologists improve peritoneal dialysis utilization? A multicenter analysis",
abstract = "In contrast to hemodialysis (HD), peritoneal dialysis (PD) remains an underutilized form of renal replacement therapy in the United States. Although a variety of factors have been deemed responsible, timely insertion of a PD catheter may also be a contributory factor. We conducted a multicenter analysis to examine whether the establishment of a program for PD catheter insertion by nephrologists has a positive impact on the growth in the number of patients using PD. Data for catheter insertion performed by nephrologists were collected from three centers. Any change in the prevalent PD population at each respective center was compared to the number of PD patients during the period having the traditional surgical approach. Nephrologists at the three centers used the peritoneoscopic technique and performed catheter insertion under local anesthesia. In center 1, the PD population remained stable at between 38 and 45 patients (approximately 16{\%} of the total end-stage renal disease [ESRD] population) from 1993 to 2001. Nephrologists initiated a program for PD catheter insertion in 2001. The number of PD patients has increased to 101 (32{\%} of the ESRD population). In center 2, the PD population remained stable at between 70 and 78 patients (approximately 17{\%}) between 1988 and 1990. Catheter insertion by interventional nephrologists began in 1991. The number of PD patients has increased to 125 (22{\%}). In center 3, the PD population remained at 20-30 patients (approximately 18{\%}) between 1988 and 1991. Catheter placement by nephrologists was initiated in 1991. The number of PD patients increased to 97 (27{\%}). Catheter insertion by interventional nephrologists was suspended in 2001. The number of PD patients has gradually declined to 25 (6{\%}). This study suggests that catheter insertion by the nephrologist can have a positive impact on the utilization of PD.",
author = "Arif Asif and Pflederer, {Timothy A.} and Vieira, {Cristovao F.} and Jorge Diego and David Roth and Anil Agarwal",
year = "2005",
month = "3",
day = "1",
doi = "10.1111/j.1525-139X.2005.18204.x",
language = "English",
volume = "18",
pages = "157--160",
journal = "Seminars in Dialysis",
issn = "0894-0959",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - Does catheter insertion by nephrologists improve peritoneal dialysis utilization? A multicenter analysis

AU - Asif, Arif

AU - Pflederer, Timothy A.

AU - Vieira, Cristovao F.

AU - Diego, Jorge

AU - Roth, David

AU - Agarwal, Anil

PY - 2005/3/1

Y1 - 2005/3/1

N2 - In contrast to hemodialysis (HD), peritoneal dialysis (PD) remains an underutilized form of renal replacement therapy in the United States. Although a variety of factors have been deemed responsible, timely insertion of a PD catheter may also be a contributory factor. We conducted a multicenter analysis to examine whether the establishment of a program for PD catheter insertion by nephrologists has a positive impact on the growth in the number of patients using PD. Data for catheter insertion performed by nephrologists were collected from three centers. Any change in the prevalent PD population at each respective center was compared to the number of PD patients during the period having the traditional surgical approach. Nephrologists at the three centers used the peritoneoscopic technique and performed catheter insertion under local anesthesia. In center 1, the PD population remained stable at between 38 and 45 patients (approximately 16% of the total end-stage renal disease [ESRD] population) from 1993 to 2001. Nephrologists initiated a program for PD catheter insertion in 2001. The number of PD patients has increased to 101 (32% of the ESRD population). In center 2, the PD population remained stable at between 70 and 78 patients (approximately 17%) between 1988 and 1990. Catheter insertion by interventional nephrologists began in 1991. The number of PD patients has increased to 125 (22%). In center 3, the PD population remained at 20-30 patients (approximately 18%) between 1988 and 1991. Catheter placement by nephrologists was initiated in 1991. The number of PD patients increased to 97 (27%). Catheter insertion by interventional nephrologists was suspended in 2001. The number of PD patients has gradually declined to 25 (6%). This study suggests that catheter insertion by the nephrologist can have a positive impact on the utilization of PD.

AB - In contrast to hemodialysis (HD), peritoneal dialysis (PD) remains an underutilized form of renal replacement therapy in the United States. Although a variety of factors have been deemed responsible, timely insertion of a PD catheter may also be a contributory factor. We conducted a multicenter analysis to examine whether the establishment of a program for PD catheter insertion by nephrologists has a positive impact on the growth in the number of patients using PD. Data for catheter insertion performed by nephrologists were collected from three centers. Any change in the prevalent PD population at each respective center was compared to the number of PD patients during the period having the traditional surgical approach. Nephrologists at the three centers used the peritoneoscopic technique and performed catheter insertion under local anesthesia. In center 1, the PD population remained stable at between 38 and 45 patients (approximately 16% of the total end-stage renal disease [ESRD] population) from 1993 to 2001. Nephrologists initiated a program for PD catheter insertion in 2001. The number of PD patients has increased to 101 (32% of the ESRD population). In center 2, the PD population remained stable at between 70 and 78 patients (approximately 17%) between 1988 and 1990. Catheter insertion by interventional nephrologists began in 1991. The number of PD patients has increased to 125 (22%). In center 3, the PD population remained at 20-30 patients (approximately 18%) between 1988 and 1991. Catheter placement by nephrologists was initiated in 1991. The number of PD patients increased to 97 (27%). Catheter insertion by interventional nephrologists was suspended in 2001. The number of PD patients has gradually declined to 25 (6%). This study suggests that catheter insertion by the nephrologist can have a positive impact on the utilization of PD.

UR - http://www.scopus.com/inward/record.url?scp=17144400746&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=17144400746&partnerID=8YFLogxK

U2 - 10.1111/j.1525-139X.2005.18204.x

DO - 10.1111/j.1525-139X.2005.18204.x

M3 - Article

C2 - 15771662

AN - SCOPUS:17144400746

VL - 18

SP - 157

EP - 160

JO - Seminars in Dialysis

JF - Seminars in Dialysis

SN - 0894-0959

IS - 2

ER -