Geographic and facility-level variation in the use of peritoneal dialysis in Canada: a cohort study.

ABSTRACT:

Background

Peritoneal dialysis is associated with similar survival and similar improvement in quality of life and is less costly compared with in-centre hemodialysis. We examined facility and geographic variation in the use of peritoneal dialysis in Canada.

Methods

We analyzed data from the Canadian Organ Replacement Register for the period January 2001 to December 2010. We identified patients for whom peritoneal dialysis was the primary modality at 90 days after initiation of dialysis. We used multilevel models to evaluate variation in use of peritoneal dialysis by facility and geographic region.

Results

We analyzed data for 31 778 incident dialysis patients at 56 facilities in 13 geographic regions across Canada. Use of peritoneal dialysis at 90 days varied consider

SUBMITTER: Sood MM 

PROVIDER: S-EPMC3985977 | biostudies-literature | 2014 Jan

REPOSITORIES: biostudies-literature