Mann Bikaramjit S, Manns Braden J, Barnieh Lianne, Oliver Matthew J, Devoe Daniel, Lorenzetti Dianne, Pauly Robert, Quinn Robert R
Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Perit Dial Int. 2017 Mar-Apr;37(2):159-164. doi: 10.3747/pdi.2016.00057.
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 Experts in the field were contacted for information about other ongoing or unpublished studies.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.
自20世纪90年代中期以来，许多国家接受腹膜透析（PD）治疗的终末期肾病（ESRD）患者比例有所下降。文献中对腹膜透析的障碍进行了广泛的综述，但缺乏关于解决这些障碍并最大限度地安全有效使用腹膜透析的策略的证据。因此，我们决定进行一项范围综述，确定在成年终末期肾病患者中最大限度使用腹膜透析的策略。我们的检索策略包括以下在线数据库：MEDLINE（OVID）、EMBASE、PubMed、Cochrane对照试验注册库、当前对照试验以及Cochrane系统评价数据库，用于检索1974年至2013年11月发表的文章。我们联系了该领域的专家，以获取有关其他正在进行或未发表研究的信息。我们还在灰色文献中进行了补充检索。我们搜索了国家、省或地区机构的网站，以查找有关腹膜透析使用政策的文件。各个透析中心需要确定其项目中增加腹膜透析的障碍，并采取有针对性的策略以最大限度地提高腹膜透析的利用率。我们的综述强调了一些可能使用的有效策略。我们的综述还强调了需要进一步研究最大限度提高腹膜透析利用率的策略。
