INTRODUCTION: RRT incidence rates and the proportion of patients using a home dialysis modality (peritoneal or home haemodialysis) varies widely between centres and persists even after area differences in age, ethnicity and social deprivation structure are taken into account. A nationwide survey was undertaken to identify possible drivers of this variation. METHODS: A systematic literature review followed by a two-stage Delphi consensus technique was employed to identify renal centre characteristics and practice patterns that may be important in determining either RRT incidence or home modality usage. RESULTS: All 72 (100%) of UK adult renal centres responded. Questions about staffing numbers, interface with primary care, interface with other secondary care sites, capacity within the HD programme, constituents of pre-dialysis education programmes, conservative management programmes, range of treatments available, dialysis access and training and physician attitudes to home modalities were included. CONCLUSIONS: There was wide variation in practice patterns and centre characteristics across the UK. Overall, physician enthusiasm for home dialysis modalities was greater than the actual usage of home dialysis.
INTRODUCTION: RRT incidence rates and the proportion of patients using a home dialysis modality (peritoneal or home haemodialysis) varies widely between centres and persists even after area differences in age, ethnicity and social deprivation structure are taken into account. A nationwide survey was undertaken to identify possible drivers of this variation. METHODS: A systematic literature review followed by a two-stage Delphi consensus technique was employed to identify renal centre characteristics and practice patterns that may be important in determining either RRT incidence or home modality usage. RESULTS: All 72 (100%) of UK adult renal centres responded. Questions about staffing numbers, interface with primary care, interface with other secondary care sites, capacity within the HD programme, constituents of pre-dialysis education programmes, conservative management programmes, range of treatments available, dialysis access and training and physician attitudes to home modalities were included. CONCLUSIONS: There was wide variation in practice patterns and centre characteristics across the UK. Overall, physician enthusiasm for home dialysis modalities was greater than the actual usage of home dialysis.
Authors: Sarah Tonkin-Crine; Miriam Santer; Geraldine M Leydon; Fliss E M Murtagh; Ken Farrington; Fergus Caskey; Hugh Rayner; Paul Roderick Journal: Br J Gen Pract Date: 2015-07 Impact factor: 5.386
Authors: Maatla Tshimologo; Kerry Allen; David Coyle; Sarah Damery; Lisa Dikomitis; James Fotheringham; Harry Hill; Mark Lambie; Louise Phillips-Darby; Ivonne Solis-Trapala; Iestyn Williams; Simon J Davies Journal: BMJ Open Date: 2022-06-08 Impact factor: 3.006
Authors: Allison Tong; Suetonia Palmer; Braden Manns; Jonathan C Craig; Marinella Ruospo; Letizia Gargano; David W Johnson; Jörgen Hegbrant; Måns Olsson; Steven Fishbane; Giovanni F M Strippoli Journal: BMJ Open Date: 2012-12-12 Impact factor: 2.692
Authors: Sarah Tonkin-Crine; Ikumi Okamoto; Geraldine M Leydon; Fliss E M Murtagh; Ken Farrington; Fergus Caskey; Hugh Rayner; Paul Roderick Journal: Am J Kidney Dis Date: 2014-10-08 Impact factor: 8.860