Peritoneal Dialysis in Incident Dialysis Patients
Growth in the number of incident patients treated with peritoneal dialysis actually predates the implementation of the ESRD Prospective Payment System in 2011, which created incentives for home dialysis, particularly among incident dialysis patients.
Mortality rates during the first year after initiation of peritoneal dialysis exhibit considerable volatility throughout the year, although they tend to increase, possibly as a result of complications associated with the modality, including peritonitis.
Regional variation in mortality rates among incident peritoneal dialysis patients is clear, with rates highest in the New England states and lowest in the Pacific division. Interestingly, in a number of Census Divisions, rates increased between 2010 and 2011, possibly an indication of nephrologists and dialysis providers struggling to manage larger numbers of peritoneal dialysis patients for the first time. In future reports, the health of the peritoneal dialysis population, along with that of its home-based counterpart, the home hemodialysis population, will be explored in detail.
Figures show patients on peritoneal dialysis within three months of dialysis initiation.