提高泰国腹膜透析患者的医疗质量和结果：关键绩效指标评估和 PDOPPS 队列代表性。

Enhancing healthcare quality and outcomes for peritoneal dialysis patients in Thailand: An evaluation of key performance indicators and PDOPPS cohort representativeness.

机构信息

Division of Nephrology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

出版信息

Nephrology (Carlton). 2023 Aug;28 Suppl 1:14-23. doi: 10.1111/nep.14204.

DOI:10.1111/nep.14204

PMID:37534842

Abstract

AIM

To assess whether the peritoneal dialysis (PD) centres included in the Peritoneal Dialysis Outcomes and Practise Patterns Study (PDOPPS) in Thailand are representative of other PD centres in the country, based on 8 key performance indicators (KPIs 1-8).

METHODS

A retrospective analysis was conducted comparing PD-related clinical outcomes between PD centres included in the PDOPPS (the PDOPPS group) and those not included (the non-PDOPPS group) from January 2018 to December 2019. Logistic regression analysis was used to identify predictors associated with achieving the target KPIs.

RESULTS

Of 181 PD centres, 22 (12%) were included in the PDOPPS. PD centres in the PDOPPS group were larger and tended to serve more PD patients than those in the non-PDOPPS group. However, the process and outcome KPIs (KPIs 1-8) were comparable between the 2 groups. Large hospitals (≥120 beds), providing care to ≥100 PD cases and having experience for >10 years were independent predictors of achieving the peritonitis rate target of <0.5 episodes/year. Most PD centres in Thailand showed weaknesses in off-target haemoglobin levels and culture-negative peritonitis rate.

CONCLUSIONS

The PD centres included in Thai PDOPPS were found to be representative of other PD centres in Thailand in terms of clinical outcomes. Thus, Thai PDOPPS findings may apply to the broader PD population in Thailand.

摘要

目的

根据 8 项关键绩效指标（KPI1-8），评估泰国腹膜透析（PD）中心是否能代表该国其他 PD 中心，以此评估纳入腹膜透析结局和实践模式研究（PDOPPS）的 PD 中心是否具有代表性。

方法

回顾性分析了 2018 年 1 月至 2019 年 12 月纳入 PDOPPS（PDOPPS 组）和未纳入 PDOPPS（非 PDOPPS 组）的 PD 中心之间与 PD 相关的临床结局。采用逻辑回归分析确定与实现目标 KPI 相关的预测因素。

结果

在 181 个 PD 中心中，有 22 个（12%）纳入 PDOPPS。PDOPPS 组的 PD 中心规模较大，且倾向于服务更多的 PD 患者，而非 PDOPPS 组。然而，两组间的过程和结局 KPI（KPI1-8）相当。规模较大的医院（≥120 张病床）、提供≥100 例 PD 治疗且有>10 年经验是实现每年腹膜炎发生率<0.5 次/年目标的独立预测因素。泰国大多数 PD 中心在目标血红蛋白水平和无培养阳性腹膜炎发生率方面表现欠佳。