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Peritoneal dialysis first policy in Hong Kong for 35 years: Global impact.
Li, Philip Kam-Tao; Lu, Wanhong; Mak, Siu-Ka; Boudville, Neil; Yu, Xueqing; Wu, Ming Ju; Cheng, Yuk-Lun; Chan, Christopher T; Goh, Bak Leong; Tian, Na; Chow, Kai Ming; Lui, Sing Leung; Lo, Wai Kei.
  • Li PK; Department of Medicine and Therapeutics, Carol and Richard Yu Peritoneal Dialysis Research Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, SAR, China.
  • Lu W; Department of Nephrology, Kidney Hospital, The First Affiliated Hospital of Xi'an, Jiaotong University, Xi'an, China.
  • Mak SK; Department of Medicine and Geriatrics, Kwong Wah Hospital, Hong Kong, SAR, China.
  • Boudville N; Department of Renal Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
  • Yu X; Department of Nephrology, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, Guangzhou, China.
  • Wu MJ; Division of Nephrology, Department of Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Cheng YL; Department of Medicine, Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong.
  • Chan CT; Division of Nephrology, University Health Network, Toronto, Ontario, Canada.
  • Goh BL; Department of Nephrology, Hospital Serdang, Kajang, Selangor, Malaysia.
  • Tian N; Department of Nephrology, General Hospital of Ningxia Medical University, Ningxia, China.
  • Chow KM; Department of Medicine and Therapeutics, Carol and Richard Yu Peritoneal Dialysis Research Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, SAR, China.
  • Lui SL; Department of Medicine, Tung Wah Hospital, Hong Kong.
  • Lo WK; Dialysis Centre, Gleneagles Hospital, Hong Kong, SAR, China.
Nephrology (Carlton) ; 27(10): 787-794, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-2232470
ABSTRACT
Peritoneal dialysis (PD) first policy has been established in Hong Kong since 1985. After 35 years of practice, the PD first policy in Hong Kong has influenced many countries around the world including governments, health ministries, nephrologists and renal nurses on the overall health policy structure and clinical practice in treating kidney failure patients using PD as an important dialysis modality. In 2021, the International Association of Chinese Nephrologists and the Hong Kong Society of Nephrology jointly held a symposium celebrating the 35 years of PD first policy in Hong Kong. In that symposium, experts and opinion leaders from around the world have shared their perspectives on how the PD first policy has grown and how it has affected PD and home dialysis practice globally. The advantages of PD during COVID-19 pandemic were highlighted and the use of telemedicine as an important adjunct was discussed in treating kidney failure patients to improve the overall quality of care. Barriers to PD and the need for sustainability of PD first policy were also emphasized. Overall, the knowledge awareness of PD as a home dialysis for patients, families, care providers and learners is a prerequisite for the success of PD first. A critical mass of PD regional hubs is needed for training and mentorship. Importantly, the alignment of policy and clinical goals are enablers of PD first program.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Peritoneal Dialysis / COVID-19 / Kidney Failure, Chronic Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Nephrology (Carlton) Journal subject: Nephrology Year: 2022 Document Type: Article Affiliation country: Nep.14042

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Peritoneal Dialysis / COVID-19 / Kidney Failure, Chronic Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Nephrology (Carlton) Journal subject: Nephrology Year: 2022 Document Type: Article Affiliation country: Nep.14042