KDOQI US Commentary on the 2020 ISPD Practice Recommendations for Prescribing High-Quality Goal-Directed Peritoneal Dialysis

Isaac Teitelbaum, Joel Glickman, Alicia Neu, Joanna Neumann, Matthew B. Rivara, Jenny Shen, Eric Wallace, Suzanne Watnick, Rajnish Mehrotra

Research output: Contribution to journalArticlepeer-review

Abstract

The recently published 2020 International Society for Peritoneal Dialysis (ISPD) practice recommendations regarding prescription of high-quality goal-directed peritoneal dialysis differ fundamentally from previous guidelines that focused on “adequacy” of dialysis. The new ISPD publication emphasizes the need for a person-centered approach with shared decision making between the individual performing peritoneal dialysis and the clinical care team while taking a broader view of the various issues faced by that individual. Cognizant of the lack of strong evidence for the recommendations made, they are labeled as “practice points” rather than being graded numerically. This commentary presents the views of a work group convened by the National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (KDOQI) to assess these recommendations and assist clinical providers in the United States in interpreting and implementing them. This will require changes to the current clinical paradigm, including greater resource allocation to allow for enhanced services that provide a more holistic and person-centered assessment of the quality of dialysis delivered.

Original languageEnglish (US)
Pages (from-to)157-171
Number of pages15
JournalAmerican Journal of Kidney Diseases
Volume77
Issue number2
DOIs
StatePublished - Feb 2021

Keywords

  • best practices
  • children
  • clinical practice guidelines
  • end-stage renal disease (ESRD)
  • fluid status
  • nutrition
  • palliative PD
  • PD prescription
  • Peritoneal dialysis (PD)
  • person-centered care
  • renal replacement therapy (RRT)
  • residual renal function (RRF)
  • shared decision-making

ASJC Scopus subject areas

  • Nephrology

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