Response to: International Society for Peritoneal Dialysis practice recommendations: Prescribing high-quality goal-directed peritoneal dialysis

En Janvier 2020 la Société Internationale de Dialyse Péritonéale a publié en "open access" ses dernières recommandations pour prescrire une dialyse péritonéale de haute qualité dirigée par un objectif . Ces recommandations sont un guide important pour les équipes médicales, infirmières de tous les pays. Elles sont d'emblée traduite en pluiseurs langus afin d'assurer la meilleure diffusion possible. Comme lors de précédents récommandations le Registre de Dialyse Péritonéale de Langue Française (RDPLF) a assuré la traduction de ce texte. Pour toute référence dans une publication, il est indispensable que seul le texte original soit cité :International Society for Peritoneal Dialysis practice recommendations: Prescribing high-quality goal-directed peritoneal dialysisEdwina A Brown, Peter G Blake, Neil Boudville et al. https://journals.sagepub.com/doi/10.1177/0896860819895364Au nom de la communauté néphrologique francophone nous remercions chaleureusement l'ISPD de nous avoir accordé l'autorisation de réaliser cette traduction. Cette traduction adhère au copyright de la version originale anglaise. Ce(tte) œuvre est mise à disposition selon les termes de la Licence Creative Commons Attribution - Pas d'Utilisation Commerciale - Pas de Modification 4.0 International.

Download Full-text

KDOQI US Commentary on the 2020 ISPD Practice Recommendations for Prescribing High-Quality Goal-Directed Peritoneal Dialysis

American Journal of Kidney Diseases ◽

10.1053/j.ajkd.2020.09.010 ◽

2020 ◽

Author(s):

Isaac Teitelbaum ◽

Joel Glickman ◽

Alicia Neu ◽

Joanna Neumann ◽

Matthew B. Rivara ◽

...

Keyword(s):

Peritoneal Dialysis ◽

High Quality ◽

Practice Recommendations

Download Full-text

International Society for Peritoneal Dialysis Practice Recommendations: The view of the person who is doing or who has done peritoneal dialysis

Peritoneal Dialysis International ◽

10.1177/0896860820918822 ◽

2020 ◽

Vol 40 (3) ◽

pp. 349-352 ◽

Cited By ~ 1

Author(s):

Richard W Corbett ◽

George Goodlet ◽

Brian MacLaren ◽

Anne Jolliffe ◽

Ann Joseph ◽

...

Keyword(s):

Peritoneal Dialysis ◽

International Society ◽

Evidence Based ◽

Shared Decision ◽

Practice Recommendations ◽

Previously Treated ◽

The Voice ◽

Medical Perspective ◽

Selection Of

The 2019 International Society for Peritoneal Dialysis (ISPD) Practice Recommendations were prepared by a committee invited by the ISPD to develop new practice recommendations for prescribing high-quality, goal-directed peritoneal dialysis (PD). Further input was sought at the stage of the first draft of the proposed recommendations by circulating drafts of the recommendations and articles to an international selection of people who were either actively doing PD or who were previously treated with PD, as well as caregivers, to ask for their feedback. A diverse group of 22 people from 8 countries across 5 continents provided their feedback covering the main recommendations as well as the accompanying articles. Much of the feedback has been acted upon at the revision stages, however, the responses are published here in summary form to underscore the commitment to hearing the voice of those doing PD or caring for them. A key change that arose from the feedback has been the shift of language from “patient-centred” to “person-centered,” reflecting the desire of these recommendations to address the patient as a person with needs and preferences beyond just the medical perspective, along with the need for the person doing PD to be central to the process of shared decision-making. Notwithstanding the challenges of an international, multi-lingual population, with people doing PD in highly diverse geographic and economic environments, the next iteration of ISPD guidelines should consider the role of people doing PD and their carers in evidence-based coproduced guidelines, from the inception of the guidelines.

Download Full-text

“Can I go to Glasgow?” Learnings from patient involvement at the 17th Congress of the International Society for Peritoneal Dialysis (ISPD)

Peritoneal Dialysis International ◽

10.1177/0896860819880101 ◽

2020 ◽

Vol 40 (1) ◽

pp. 12-25 ◽

Cited By ~ 2

Author(s):

Talia Gutman ◽

Karine E Manera ◽

Amanda Baumgart ◽

David W Johnson ◽

Martin Wilkie ◽

...

Keyword(s):

Peritoneal Dialysis ◽

International Society ◽

Health Professionals ◽

Best Practice ◽

Patient Involvement ◽

Learning Experience ◽

Research Priorities ◽

Self Management ◽

Structured Interviews ◽

Research Activities

Background: Recognition of the discrepancy between the research priorities of patients and health professionals has prompted efforts to involve patients as active contributors in research activities, including scientific conferences. However, there is limited evidence about the experience, challenges, and impacts of patient involvement to inform best practice. This study aims to describe patient and health professional perspectives on patient involvement at the Congress of the International Society for Peritoneal Dialysis (ISPD). Methods: Semi-structured interviews were conducted with 14 patients/caregivers and 15 health professionals from six countries who attended ISPD. Interviews were recorded and transcribed verbatim, and transcripts were analyzed thematically. Results: We identified four themes: protecting and enhancing scientific learning (grounding science in stories, sharing and inspiring new perspectives, distilling the key messages of research presentations, striking a balance between accommodating patients and presenting the science); democratizing access to research (redistributing power, challenging the traditional ownership of knowledge, cultivating self-management through demystifying research); inadequate support for patient/caregiver delegates (lacking purposeful inclusion, challenges in interpreting research findings, soliciting medical advice, difficulty negotiating venue and program, limited financial assistance in attending); and amplifying impact beyond the room (sparking innovation in practice, giving patients and families hope for the future). Conclusions: Patient involvement at the ISPD Congress clarified the applicability of research to patient care and self-management, democratized science, and strengthened the potential impact of research. More structured support for patients to help them purposefully articulate their experience in relation to session objectives may enhance their contribution and their own learning experience.

Download Full-text

Volume management as a key dimension of a high-quality PD prescription

Peritoneal Dialysis International ◽

10.1177/0896860819895365 ◽

2020 ◽

Vol 40 (3) ◽

pp. 282-292 ◽

Cited By ~ 2

Author(s):

Angela Yee-Moon Wang ◽

Jie Dong ◽

Xiao Xu ◽

Simon Davies

Keyword(s):

Blood Pressure ◽

Peritoneal Dialysis ◽

Kidney Function ◽

Clinical Care ◽

Small Sample ◽

Volume Status ◽

Volume Control ◽

High Quality ◽

Volume Management ◽

Residual Kidney Function

Background: Appropriate volume control is one of the key goals in a peritoneal dialysis (PD) prescription. As such it is an important component of the International Society of Peritoneal Dialysis (ISPD) guideline for “High-quality PD prescription” necessitating a review of the literature on volume management. The workgroup recognized the importance of including within its scope measures of volume status and blood pressure in prescribing high-quality PD therapy. Methods: A Medline and PubMed search for publications addressing volume status and its management in PD since the publication of the 2015 ISPD Adult Cardiovascular and Metabolic Guidelines, from October 2014 through to July 2019, was conducted. Results: There were no randomized controlled trials on blood pressure intervention and six randomized trials of bioimpedance-guided volume management. Generally, all studies were of small sample size, short duration, and used surrogate markers as primary outcomes. As a consequence, only “practice points” were drawn. High-quality goal-directed PD prescription should aim to achieve and maintain clinical euvolemia taking residual kidney function and its preservation into account, so that both fluid removal from peritoneal ultrafiltration and urine output are considered and residual kidney function is not compromised. Blood pressure should be included as a key objective parameter in assessing the quality of PD prescription but there is currently no evidence for a specific target in PD. Clinical examination remains the keystone of routine clinical care. Conclusions: High-quality goal-directed PD prescription should include volume management as one of the key dimensions.

Download Full-text