Key result
Dedicated KRT clinic attendance linked to ~351% higher odds of PD initiation.
Why the study?
Peritoneal dialysis is an established home-based kidney replacement therapy, but its uptake remains low in Japan.
Does individualized education in a dedicated outpatient clinic increase the initiation of peritoneal dialysis in patients requiring kidney replacement therapy?
Cross-Sectional (n=175)
Does individualized education in a dedicated outpatient clinic increase the initiation of peritoneal dialysis in patients requiring kidney replacement therapy?
Individualized education in a dedicated outpatient clinic significantly increases the likelihood of patients choosing peritoneal dialysis over hemodialysis.
Supports dedicated modality selection clinics to increase peritoneal dialysis use; leaves open whether association is causal or generalizable.
Introduction Peritoneal dialysis (PD) is an established home‐based kidney replacement therapy (KRT), but its uptake remains low in Japan. We evaluated whether individualized education in a dedicated outpatient clinic was associated with the initiation of PD. Methods In this retrospective cross‐sectional study, 175 patients who initiated maintenance hemodialysis or PD between April 2021 and September 2024 were classified by attendance at a dedicated KRT modality selection clinic. Logistic regression and propensity score matching were performed. Results Among 175 patients, 40 attended the clinic. PD was initiated in 35.0% of attendees compared with 10.4% of nonattendees. Clinic attendance was independently associated with PD initiation (adjusted odds ratio, 4.51; 95% confidence interval, 1.89–10.77; p < 0.001), and this association remained significant after matching. Conclusions Individualized education in a dedicated outpatient clinic was associated with a higher likelihood of PD initiation.
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Ito et al. (2026) conducted a cross-sectional in Kidney replacement therapy modality selection (n=175). Attendance at a dedicated KRT modality selection clinic vs. Nonattendees was evaluated on Initiation of peritoneal dialysis (OR 4.51, 95% CI 1.89-10.77, p=<0.001). Attendance at a dedicated kidney replacement therapy modality selection clinic was associated with a higher likelihood of peritoneal dialysis initiation (35.0% vs 10.4%; OR 4.51, 95% CI 1.89-10.77).
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