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November 19, 2025PLoS ONEOpen Access

Patient survival and kidney transplantation in different dialysis modalities under PD First Policy Thailand

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Authors

PSPornpen SangthawanTIThammasin IngviyaSRSongyos Rajborirug

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Overview

Retrospective analysis reveals improved patient survival in dialysis transitions, highlighting effects of comorbidities and universal health coverage.

Key Points

  • This study examines patient survival during dialysis and post-kidney transplantation and factors influencing these outcomes.
  • Retrospective analysis of data from the National Health Security Office (NHSO) between 2013-2021
  • Categorization into four groups: peritoneal dialysis (PD), hemodialysis (HD), PD-to-HD transition, and HD-to-PD transition
  • Survival factors analyzed using Cox proportional hazards models.
  • 38.9% of patients were on PD, while 35.3% were on HD.
  • Patients transitioning from PD to HD had superior 3- and 5-year survival rates.
  • Factors affecting post-kidney transplantation survival included age, cardiac disease, and antibody-mediated rejection.

Cite This Study

Sangthawan et al. (2025) studied this question.

synapsesocial.com/papers/6924fed8c0ce034ddc3511e8https://doi.org/10.1371/journal.pone.0336954
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Success Paradox: Thailand's dialysis policy evolution and implications for modality choice reforms2026 · 2 citations
  2. 2Incidence of peritoneal dialysis transfer to hemodialysis after the free-choice dialysis policy in Thailand; A tertiary center experience2026
  3. 3#2771 Peritoneal dialysis after kidney graft loss … and now, what?2024
  4. 4Towards a Peritoneal Dialysis-First Policy in the UK and Europe: A Phenotype-Based Analysis of Survival and System-Level Implications2026 · 1 citations
  5. 5Transplantation Improves Patient Survival in a PD-first Program in South Africa2026