The incidence of ESRD is increasing, with a current prevalence of over half a million patients in the United States. Most ESRD patients are treated with hemodialysis (HD) and the number of patients receiving peritoneal dialysis (PD) has steadily declined over the past several decades. According to the U.S. Renal Data System 2011 annual report, approximately 7 percent of patients were being treated with PD at the end of 2009, reflecting gross underuse of this form of therapy (1). Of the incident patients, dialysis was initiated using PD in only 6.1 percent.
The growth in the number of interventional nephrologists during the past decade has established a new paradigm of approach to vascular access and to PD catheter placement. The safety of these procedures and the growth of the PD patient population in the interventional nephrology programs that perform PD catheter placement have been well documented. Interventional nephrologists are uniquely poised to improve the use of PD by highlighting and capitalizing on the following attributes.
Chapter One: Incidence, prevalence, patient characteristics, and treatment modalities. http://www.usrds.org/2011/pdf/v2_ch01_11.pdf.
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