The perception of nephrologists about peritoneal dialysis in Turkey


DOĞAN İ., Ucar E., ORUÇ A., ATEŞ K.

THERAPEUTIC APHERESIS AND DIALYSIS, 2022 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2022
  • Doi Number: 10.1111/1744-9987.13903
  • Journal Name: THERAPEUTIC APHERESIS AND DIALYSIS
  • Journal Indexes: Science Citation Index Expanded, Scopus, EMBASE, MEDLINE
  • Keywords: nephrologist, nephrology fellow, perception, peritoneal dialysis, RENAL REPLACEMENT THERAPY, CHRONIC KIDNEY-DISEASE, PATIENT PERSPECTIVES, MODALITY SELECTION, DECISION-MAKING, COST, HEMODIALYSIS, ATTITUDES

Abstract

Background We aimed to evaluate the perceptions of nephrologists about peritoneal dialysis (PD) in Turkey. Materials and Methods An anonymous survey was conducted to a total of 150 nephrologists. Demographic data, perceptions, PD indications, contraindications, and possible reasons for low preference of PD were questioned. Results In decision making, 93.4% of all stated that patients prioritized the doctor's opinion and 80.7% considered PD is the best initial dialysis option. The presence of many HD facilities (70.7%), inadequate knowledge, and education of patients (70%), physicians' reluctance to practice PD (70%), unwillingness of patients (68.7%), negative effect of other patients (67.3%), inadequate experience of PD staff (58.7%), and nonencouragement of PD by the state (58.7%) were the leading reasons of low prevalence. Conclusion Implementation of comprehensive predialysis education programs for patients, informing government and hospital officials about PD advantages, and reinforcing PD principles to the nephrologists could improve the low prevalence of PD in Turkey.