Patient survival and kidney transplantation in different dialysis modalities under PD First Policy Thailand.

ABSTRACT:

Background

Thailand implemented a peritoneal dialysis (PD)-first policy under its universal health coverage (UHC) from 2008 to 2022. This study aims to describe patient survival during dialysis and after kidney transplantation (KT), and to identify factors associated with survival in these periods among UHC-covered patients undergoing PD, hemodialysis (HD), or transitioning between dialysis modalities.

Methods

This retrospective study analyzed data from patients receiving PD, HD, or KT, recorded by the National Health Security Office (NHSO) between January 2013 and December 2021. Patients were categorized into four groups: PD, HD, PD-to-HD transition, and HD-to- PD transition. Survival factors were analyzed using Cox proportional hazards models.

Results

Among 81,572 p

SUBMITTER: Sangthawan P 

PROVIDER: S-EPMC12629467 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature