What question did this study set out to answer?

To assess and compare the incidence rate of permanent transition from peritoneal dialysis to hemodialysis before and after a national transition to a free-choice dialysis policy.

August 19, 2026Peritoneal Dialysis International

Incidence of peritoneal dialysis transfer to hemodialysis after the free-choice dialysis policy in Thailand; A tertiary center experience

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Authors

PSPatipan Sorajj WTWashirawarach Teeraseehatri WSWasinee Saelim

Discussion

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Overview

Cohort study reveals increased peritoneal dialysis transfer to hemodialysis after free-choice policy implementation, indicating medical complications like peritonitis drive modality shifts.

Key Points

To assess and compare the incidence rate of permanent transition from peritoneal dialysis to hemodialysis before and after a national transition to a free-choice dialysis policy.
Retrospective medical record review of peritoneal dialysis recipients at a tertiary hospital in Thailand between February 2020 and January 2023.
Calculated time on therapy and incidence rates per 100 person-years to determine incidence rate ratios (IRR) with 95% confidence intervals across policy periods.
The incidence rate of permanent transfer to hemodialysis rose from 4.31 (95% CI 3.32 to 5.51) per 100 person-years during the peritoneal dialysis-first era to 10.89 (95% CI 8.50 to 13.74) per 100 person-years in the free-choice era.
Transfer risk significantly increased following the policy change (IRR 2.52, 95% CI 1.77–3.59, p < 0.001).
Peritonitis was the leading cause of transfer to hemodialysis in the free-choice era, whereas patient preference represented 12.6% of transitions.

Cite This Study

Sorajj et al. (2026) studied this question.

synapsesocial.com/papers/6a85636403308d306e2d6867 https://doi.org/10.1177/08968608261479080

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August 19, 2026Peritoneal Dialysis International

Incidence of peritoneal dialysis transfer to hemodialysis after the free-choice dialysis policy in Thailand; A tertiary center experience

View Full Paper

Ask AI

Bookmark

Authors

PSPatipan Sorajj WTWashirawarach Teeraseehatri WSWasinee Saelim

Discussion

Member takes

Overview

Cohort study reveals increased peritoneal dialysis transfer to hemodialysis after free-choice policy implementation, indicating medical complications like peritonitis drive modality shifts.

Key Points

To assess and compare the incidence rate of permanent transition from peritoneal dialysis to hemodialysis before and after a national transition to a free-choice dialysis policy.
Retrospective medical record review of peritoneal dialysis recipients at a tertiary hospital in Thailand between February 2020 and January 2023.
Calculated time on therapy and incidence rates per 100 person-years to determine incidence rate ratios (IRR) with 95% confidence intervals across policy periods.
The incidence rate of permanent transfer to hemodialysis rose from 4.31 (95% CI 3.32 to 5.51) per 100 person-years during the peritoneal dialysis-first era to 10.89 (95% CI 8.50 to 13.74) per 100 person-years in the free-choice era.
Transfer risk significantly increased following the policy change (IRR 2.52, 95% CI 1.77–3.59, p < 0.001).
Peritonitis was the leading cause of transfer to hemodialysis in the free-choice era, whereas patient preference represented 12.6% of transitions.

Cite This Study

Sorajj et al. (2026) studied this question.

synapsesocial.com/papers/6a85636403308d306e2d6867 https://doi.org/10.1177/08968608261479080

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