Does Current Nephrology Fellowship Training Affect Uti-lization of Peritoneal Dialysis in the United States?

• 作者: Catherine R. Messina Nand K. Wadhwa Nasser M. Hebah
• 来源期刊: 肾脏病(英文)
• 学科: 医学
• 关键词: PERITONEAL DIALYSIS HEMODIALYSIS Utilization NEPHROLOGY FELLOWSHIP Training
• 年，卷（期）: 2013,（2）
• 页码范围: 109-114
• 页数: 6页
• 分类号: R6

摘要

Background: The 2010 US Renal Data System annual report revealed that peritoneal dialysis is used by only 7% of end-stage renal disease patients on chronic dialysis vs. hemodialysis which is used by 93% of such patients, despite documented benefits of peritoneal dialysis over hemodialysis in these cases. Purpose: We examined whether education of nephrology fellows contributed to underutilization of peritoneal dialysis in the US. Methods: Self-report questionnaires were administered electronically to nephrology fellowship training program directors, October 2010-March 2011 (55% response). Results: Median number of training faculty and patients/fellow were significantly lower for peritoneal-dialysis vs. hemodialysis training. Hours of didactic teaching for fellows over their 2-year training period were significantly lower for peritoneal dialysis vs. hemodialysis. Peritoneal dialysis training was 20% of total training vs. 80% for hemodialysis. Most program directors (87%) believed lack of trained faculty in peritoneal dialysis and insufficient peritoneal dialysis patient population contributed to inadequate fellows’ peritoneal dialysis training. Conclusions: Findings suggest that current nephrology fellowship training in peritoneal dialysis is inadequate and contributes to its underutilization.