The path to safe, equitable and sustainable dialysis provision for people with chronic kidney disease
Issued Date
2026-01-01
Resource Type
ISSN
10788956
eISSN
1546170X
Scopus ID
2-s2.0-105028226952
Pubmed ID
41566044
Journal Title
Nature Medicine
Volume
32
Issue
1
Start Page
44
End Page
46
Rights Holder(s)
SCOPUS
Bibliographic Citation
Nature Medicine Vol.32 No.1 (2026) , 44-46
Suggested Citation
Teerawattananon Y., Chavarina K.K., Phannajit J., Sutawong J., Yongphiphatwong N., Chawla N., Botwright S., Chuanchaiyakul T., Anothaisintawee T., Arogundade F., Ashuntantang G., Thammatacharee J., Sola L., Chuengsaman P., Chunharas S., Wibulpolprasert S., Tang S.C.W., Kanjanabuch T., Luyckx V., Ophascharoensuk V., Isaranuwatchai W., Jha V., Praditpornsilpa K., Tungsanga K., Limsawart W., Thitjuea S., Boonkaew S., Khamkom S., Tatiyanupanwong S., Ngam-prukwanit R., Supapol P., Kiatkrissada N., Thamcharoen N., Gandhi N., Chareonrungruengchai K., Khositrangsikun K., Piyawong J., Aryani H., Butani D.H., Pandejpong D., Sriprach S., Pichaiwong W., Dokkaew T., Sirilak S., Sitthitham N., Aiyasanon N., Kiattisunthorn K., Tabongkaraksa C., Dabak S.V., Boonma C. The path to safe, equitable and sustainable dialysis provision for people with chronic kidney disease. Nature Medicine Vol.32 No.1 (2026) , 44-46. 46. doi:10.1038/s41591-025-04144-1 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/114859
Title
The path to safe, equitable and sustainable dialysis provision for people with chronic kidney disease
Author(s)
Teerawattananon Y.
Chavarina K.K.
Phannajit J.
Sutawong J.
Yongphiphatwong N.
Chawla N.
Botwright S.
Chuanchaiyakul T.
Anothaisintawee T.
Arogundade F.
Ashuntantang G.
Thammatacharee J.
Sola L.
Chuengsaman P.
Chunharas S.
Wibulpolprasert S.
Tang S.C.W.
Kanjanabuch T.
Luyckx V.
Ophascharoensuk V.
Isaranuwatchai W.
Jha V.
Praditpornsilpa K.
Tungsanga K.
Limsawart W.
Thitjuea S.
Boonkaew S.
Khamkom S.
Tatiyanupanwong S.
Ngam-prukwanit R.
Supapol P.
Kiatkrissada N.
Thamcharoen N.
Gandhi N.
Chareonrungruengchai K.
Khositrangsikun K.
Piyawong J.
Aryani H.
Butani D.H.
Pandejpong D.
Sriprach S.
Pichaiwong W.
Dokkaew T.
Sirilak S.
Sitthitham N.
Aiyasanon N.
Kiattisunthorn K.
Tabongkaraksa C.
Dabak S.V.
Boonma C.
Chavarina K.K.
Phannajit J.
Sutawong J.
Yongphiphatwong N.
Chawla N.
Botwright S.
Chuanchaiyakul T.
Anothaisintawee T.
Arogundade F.
Ashuntantang G.
Thammatacharee J.
Sola L.
Chuengsaman P.
Chunharas S.
Wibulpolprasert S.
Tang S.C.W.
Kanjanabuch T.
Luyckx V.
Ophascharoensuk V.
Isaranuwatchai W.
Jha V.
Praditpornsilpa K.
Tungsanga K.
Limsawart W.
Thitjuea S.
Boonkaew S.
Khamkom S.
Tatiyanupanwong S.
Ngam-prukwanit R.
Supapol P.
Kiatkrissada N.
Thamcharoen N.
Gandhi N.
Chareonrungruengchai K.
Khositrangsikun K.
Piyawong J.
Aryani H.
Butani D.H.
Pandejpong D.
Sriprach S.
Pichaiwong W.
Dokkaew T.
Sirilak S.
Sitthitham N.
Aiyasanon N.
Kiattisunthorn K.
Tabongkaraksa C.
Dabak S.V.
Boonma C.
Author's Affiliation
Harvard Medical School
National University of Singapore
UNSW Sydney
The University of Hong Kong
University of Cape Town
University of Strathclyde
Chulalongkorn University
Imperial College Faculty of Medicine
Duke-NUS Medical School
Siriraj Hospital
Obafemi Awolowo University
Université de Yaoundé I
Institute of Health Policy, Management and Evaluation
Faculty of Medicine, Chiang Mai University
Kinderspital Zürich
Ramathibodi Hospital
King Chulalongkorn Memorial Hospital
Silpakorn University
Faculty of Medicine, Chulalongkorn University
Thailand Ministry of Public Health
Rajavithi Hospital
Prasanna School of Public Health
International Health Policy Program, Thailand
Thailand Development Research Institute
National Health Security Office
Chaiyapoom Hospital
Health Intervention and Technology Assessment Program
Maharat Nakhon Si Thammarat Hospital
The Medical Association of Thailand
National Health Foundation, Thailand
Banphaeo Hospital
Thailand Health Systems Research Institute
CASMU-IAMPP
Bhumirajanakarindra Kidney Institute Hospital
Kantharalak Hospital
Bangkhla Hospital
Pinkanakorn Development Agency
Thai Kidney Friends Association
National University of Singapore
UNSW Sydney
The University of Hong Kong
University of Cape Town
University of Strathclyde
Chulalongkorn University
Imperial College Faculty of Medicine
Duke-NUS Medical School
Siriraj Hospital
Obafemi Awolowo University
Université de Yaoundé I
Institute of Health Policy, Management and Evaluation
Faculty of Medicine, Chiang Mai University
Kinderspital Zürich
Ramathibodi Hospital
King Chulalongkorn Memorial Hospital
Silpakorn University
Faculty of Medicine, Chulalongkorn University
Thailand Ministry of Public Health
Rajavithi Hospital
Prasanna School of Public Health
International Health Policy Program, Thailand
Thailand Development Research Institute
National Health Security Office
Chaiyapoom Hospital
Health Intervention and Technology Assessment Program
Maharat Nakhon Si Thammarat Hospital
The Medical Association of Thailand
National Health Foundation, Thailand
Banphaeo Hospital
Thailand Health Systems Research Institute
CASMU-IAMPP
Bhumirajanakarindra Kidney Institute Hospital
Kantharalak Hospital
Bangkhla Hospital
Pinkanakorn Development Agency
Thai Kidney Friends Association
Corresponding Author(s)
Other Contributor(s)
Abstract
An abrupt policy change in 2022 — allowing patients to choose between peritoneal dialysis or hemodialysis — created severe unintended consequences for the Thai health system. A multidisciplinary commission found that interacting factors in the system were overlooked and that future dialysis policies must integrate more-diverse evidence and stakeholder views, prioritizing care quality and ethics while balancing equity and sustainability.