Arrieta J, Bajo M A, Caravaca F, Coronel F, García-Pérez H, González-Parra E, Granado A, Martín-Govantes J, Miguel A, Molina A, Montenegro J, Pérez-Bañasco V, Pérez-Fontán M, Remón-Rodríguez C, Rodríguez-Palomares J R, Ruiz C, Sánchez-Moreno A, Vega N
Nefrologia. 2006;26 Suppl 4:1-184.
In Spain and in each of its autonomous communities, the dialysis treatment of chronic renal disease stage 5 is totally covered by public health. Peritoneal dialysis, in any of its modalities, is established as the preferred home dialysis technique and is chosen by high percentage of patients as their choice in dialysis treatment. The Spanish Society of Nephrology has promoted a project of creation of performance guides in the field of peritoneal dialysis, entrusting a work group composed of members of the Spanish Society of Nephrology a with the development of these guides. The information offered is based on levels of evidence, opinion and clinical experience of the most relevant publications of the topic. In these guides, after defining the concept of << peritoneal dialysis>>, the obligations and responsibilities of the sanitation team of the peritoneal dialysis unit are determined, and protocols and performance procedures that try to include all the aspects that concern the patient with chronic renal disease in substitute treatment with this technique are developed. They propose prescription objectives based on available clinical evidence and, lacking this, on the consensus of the experts' opinions. The final aim is to improve the care and quality of the of the patient in peritoneal dialysis, optimizing in this way the survival of the patient and of the technique. In Spain, as in other neighbouring countries, peritoneal dialysis has an incidence and prevalence that is much lower than that of hemodialysis, ranging in the last evaluation by the Spanish Society of Nephrology between 5 and 24% in the different autonomous communities. The great majority of peritoneal dialysis units form part of the public network of the Spanish state, with special representation as a Satellite Unit or Concerted Center related to the public hospital of reference, on which it must depend.
在西班牙及其各个自治区，慢性肾病5期的透析治疗完全由公共卫生体系覆盖。腹膜透析的任何一种方式都被确立为首选的家庭透析技术，并且有很大比例的患者选择它作为透析治疗方式。西班牙肾脏病学会推动了一项在腹膜透析领域制定操作指南的项目，委托一个由西班牙肾脏病学会成员组成的工作组来制定这些指南。所提供的信息基于该主题最相关出版物的证据水平、观点和临床经验。在这些指南中，在定义了“腹膜透析”的概念之后，确定了腹膜透析单位卫生团队的义务和责任，并制定了协议和操作程序，试图涵盖该技术替代治疗中与慢性肾病患者相关的所有方面。它们根据现有的临床证据提出处方目标，若缺乏临床证据，则依据专家意见的共识提出目标。最终目的是改善腹膜透析患者的护理和质量，从而优化患者的生存以及该技术的应用。在西班牙，与其他邻国一样，腹膜透析的发病率和患病率远低于血液透析，根据西班牙肾脏病学会的最新评估，在不同自治区，这一比例在5%至24%之间。绝大多数腹膜透析单位是西班牙国家公共网络的一部分，特别表现为与参考公立医院相关的卫星单位或协作中心，且必须依赖于该公立医院。
