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Part 2: Regional Perspectives in PD |
1 Department of Medicine, Alice Ho Miu Ling Nethersole Hospital, Tai Po; 2 Department of Medicine, Queen Elizabeth Hospital, Kowloon;3 Department of Medicine, United Christian Hospital, Kwun Tong; 4 Department of Medicine and Therapeutics, Prince of Wales Hospital, Shatin, Hong Kong SAR, PR China
Correspondence to: A.W. Yu, Department of Medicine, Alice Ho Miu Ling
Nethersole Hospital, 11 Chuen On Road, Tai Po, Hong Kong SAR, PR
China.
yuwy{at}ha.org.hk
Maintenance dialysis is an expensive treatment modality for patients with
end-stage renal-disease (ESRD). The number of patients on maintenance dialysis
is rising rapidly and will reach 2.5 million globally by 2010. The predicted
expenditure will be US$1 trillion. Since the 1960s, Hong Kong has faced
financial restraints on the provision of dialysis. Continuous ambulatory
peritoneal dialysis (CAPD) and automated peritoneal dialysis at home were
found to be less expensive than in-centre chronic hemodialysis. The
development of a "peritoneal dialysis first" (PD-First) policy has
contributed significantly to a successful dialysis program in Hong Kong since
1960. Currently in Hong Kong, 80% of ESRD patients on maintenance dialysis are
on PD, mainly CAPD; 20% are on hemodialysis. The success of the PD-First
policy is a combination of accumulated experience of PD in each dialysis unit
that has at least 200 CAPD patients under care and of impressive technique and
patient survival rates for this modality. Concerted effort by government and
charity organizations and commitment on the part of nephrologists and nursing
staff to patient education are also important in making the PD program in Hong
Kong a successful one.
KEY WORDS: KEY WORDS:; PD-First policy; model; Hong Kong..
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