Key result
Peritoneal dialysis uptake in rural Manitoba is hindered by barriers such as medical suitability, distrust of home modalities, fear of management, limited family support, and lack of housing.
Why the study?
Home peritoneal dialysis offers more mobility and flexibility for patients with ESKD, but few Manitoba First Nations patients have availed themselves of this option.
What are the barriers and enablers to expanding the use of peritoneal dialysis in rural and remote Manitoba First Nations communities?
Observational (n=55)
What are the barriers and enablers to expanding the use of peritoneal dialysis in rural and remote Manitoba First Nations communities?
Assisted peritoneal dialysis is proposed as a model to mitigate existing barriers to home dialysis for First Nations patients in rural and remote Manitoba.
Answers are grounded in this paper and cite their sources.
Highlights barriers to PD uptake among Manitoba FN patients; leaves open whether targeted interventions can improve access.
Background: End-stage kidney disease (ESKD) continues to fundamentally impact the lives of First Nations (FN) patients. Home peritoneal dialysis (PD) offers patients more mobility and flexibility, but few Manitoba FNs have availed themselves of this option. Objective: This paper discusses Manitoba FNs' experience of PD, to highlight enablers and barriers to expanding the use of PD in rural and remote Manitoba communities. Methods: We analyzed interviews of individuals living with ESKD (N = 14), family caregivers (N = 14) and healthcare providers and administrators (N = 27). Results: Barriers to PD uptake include medical suitability, patients' distrust of home modalities and fear in their ability to manage. Other factors include limited family support and lack of appropriate housing. Conclusions: Assisted peritoneal dialysis (APD) is an emerging model where PD supplies are centrally located, and where a cohort of PD patients can provide mutual support with added assistance from an APD worker. This model could mitigate existing treatment barriers.
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Lavoie et al. (2019) conducted an observational in End-stage kidney disease (ESKD) (n=55). Peritoneal dialysis was evaluated on Enablers and barriers to expanding the use of peritoneal dialysis. Peritoneal dialysis uptake in rural Manitoba is hindered by barriers such as medical suitability, distrust of home modalities, fear of management, limited family support, and lack of housing.
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