Publication: Peritoneal dialysis: Status report in South and South East Asia
Issued Date
2021-11-01
Resource Type
ISSN
14401797
13205358
13205358
Other identifier(s)
2-s2.0-85112668449
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Nephrology. Vol.26, No.11 (2021), 898-906
Suggested Citation
Vinant Bhargava, Sanjiv Jasuja, Sydney Chi Wai Tang, Anil K. Bhalla, Gaurav Sagar, Vivekanand Jha, Raja Ramachandran, Manisha Sahay, Suceena Alexander, Tushar Vachharajani, Aida Lydia, Mamun Mostafi, Jayakrishnan K. Pisharam, Chakko Jacob, Atma Gunawan, Goh Bak Leong, Khin Thida Thwin, Rajendra Kumar Agrawal, Kriengsak Vareesangthip, Roberto Tanchanco, Lina Choong, Chula Herath, Chih Ching Lin, Syed Fazal Akhtar, Ali Alsahow, Devender Singh Rana, Mohan M. Rajapurkar, Vijay Kher, Shalini Verma, Sampathkumar Krishnaswamy, Amit Gupta, Anupam Bahl, Ashwani Gupta, Umesh B. Khanna, Santosh Varughese, Maurizio Gallieni Peritoneal dialysis: Status report in South and South East Asia. Nephrology. Vol.26, No.11 (2021), 898-906. doi:10.1111/nep.13949 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77737
Research Projects
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Title
Peritoneal dialysis: Status report in South and South East Asia
Author(s)
Vinant Bhargava
Sanjiv Jasuja
Sydney Chi Wai Tang
Anil K. Bhalla
Gaurav Sagar
Vivekanand Jha
Raja Ramachandran
Manisha Sahay
Suceena Alexander
Tushar Vachharajani
Aida Lydia
Mamun Mostafi
Jayakrishnan K. Pisharam
Chakko Jacob
Atma Gunawan
Goh Bak Leong
Khin Thida Thwin
Rajendra Kumar Agrawal
Kriengsak Vareesangthip
Roberto Tanchanco
Lina Choong
Chula Herath
Chih Ching Lin
Syed Fazal Akhtar
Ali Alsahow
Devender Singh Rana
Mohan M. Rajapurkar
Vijay Kher
Shalini Verma
Sampathkumar Krishnaswamy
Amit Gupta
Anupam Bahl
Ashwani Gupta
Umesh B. Khanna
Santosh Varughese
Maurizio Gallieni
Sanjiv Jasuja
Sydney Chi Wai Tang
Anil K. Bhalla
Gaurav Sagar
Vivekanand Jha
Raja Ramachandran
Manisha Sahay
Suceena Alexander
Tushar Vachharajani
Aida Lydia
Mamun Mostafi
Jayakrishnan K. Pisharam
Chakko Jacob
Atma Gunawan
Goh Bak Leong
Khin Thida Thwin
Rajendra Kumar Agrawal
Kriengsak Vareesangthip
Roberto Tanchanco
Lina Choong
Chula Herath
Chih Ching Lin
Syed Fazal Akhtar
Ali Alsahow
Devender Singh Rana
Mohan M. Rajapurkar
Vijay Kher
Shalini Verma
Sampathkumar Krishnaswamy
Amit Gupta
Anupam Bahl
Ashwani Gupta
Umesh B. Khanna
Santosh Varughese
Maurizio Gallieni
Other Contributor(s)
Siriraj Hospital
Ministry of Health Brunei
Bir Hospital
Sri Jayewardenepura General Hospital
Osmania General Hospital
Brawijaya University
Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo
Sindh Institute of Urology and Transplantation
Muljibhai Patel Urological Hospital
Queen Mary Hospital Hong Kong
Università degli Studi di Milano
Sir Ganga Ram Hospital
Meenakshi Mission Hospital and Research Centre
Cleveland Clinic Foundation
Indraprastha Apollo Hospitals
Singapore General Hospital
Veterans General Hospital-Taipei
Christian Medical College, Vellore
Postgraduate Institute of Medical Education & Research, Chandigarh
Apollo Medics Hospital
Lancelot Kidney and GI Centre
Bangalore Baptist Hospital
Medanta Hospital
Clinical Research
University of Dental Medicine
Jahra Hospital
The Medical City
George Institute of Global Health
Armed Forces Medical College
Hospital Serdang
Ministry of Health Brunei
Bir Hospital
Sri Jayewardenepura General Hospital
Osmania General Hospital
Brawijaya University
Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo
Sindh Institute of Urology and Transplantation
Muljibhai Patel Urological Hospital
Queen Mary Hospital Hong Kong
Università degli Studi di Milano
Sir Ganga Ram Hospital
Meenakshi Mission Hospital and Research Centre
Cleveland Clinic Foundation
Indraprastha Apollo Hospitals
Singapore General Hospital
Veterans General Hospital-Taipei
Christian Medical College, Vellore
Postgraduate Institute of Medical Education & Research, Chandigarh
Apollo Medics Hospital
Lancelot Kidney and GI Centre
Bangalore Baptist Hospital
Medanta Hospital
Clinical Research
University of Dental Medicine
Jahra Hospital
The Medical City
George Institute of Global Health
Armed Forces Medical College
Hospital Serdang
Abstract
Background: Peritoneal dialysis (PD) as a modality of kidney replacement therapy (KRT) is largely underutilized globally. We analyzed PD utilization, impact of economic status, projected growth and impact of state policy(s) on PD growth in South Asia and Southeast Asia (SA&SEA) region. Methods: The National Nephrology Societies of the region responded to a questionnaire on KRT practices. The responses were based on the latest registry data, acceptable community-based studies and societal perceptions. The representative countries were divided into high income and higher-middle income (HI & HMI) and low income and lower-middle income (LI & LMI) groups. Results: Data provided by 15 countries showed almost similar percentage of GDP as health expenditure (4%–7%). But there was a significant difference in per capita income (HI & HMI -US$ 28 129 vs. LI & LMI - US$ 1710.2) between the groups. Even after having no significant difference in monthly cost of haemodialysis (HD) and PD in LI & LMI countries, they have poorer PD utilization as compared to HI & HMI countries (3.4% vs. 10.1%); the reason being lack of formal training/incentives and time constraints for the nephrologist while lack of reimbursement and poor general awareness of modalities has been a snag for the patients. The region expects ≥10% PD growth in the near future. Hong Kong and Thailand with ‘PD first’ policy have the highest PD utilization. Conclusion: Important deterrents to PD underutilization were lack of PD centric policies, lackadaisical patient/physician's attitude, lack of structured patient awareness programs, formal training programs and affordability.