Peritoneal Dialysis Drop-out: Causes and Prevention Strategies

Table 1

Potential causes of transfer to HD.

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Modality related

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 Peritonitis

 Tunnel infection, exit site infections

 Inadequate dialysis

 Ultrafiltration failure

 Catheter malfunction

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System related

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 Lack of patient education/training

 Transfer to a facility where PD is unavailable

 Center effect

 Provider expertise

 Ownership of dialysis facility

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Patient related

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 Patient fatigue/burnout

 Social reasons, family, occupation, and so forth

 Geography: distance to travel

 Loss of RRF

 Malnutrition and/or excess protein loss

 Abdominal surgeries/hernia

 Stroke or severe illness, limiting the manual dexterity

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