Washington [US], Feb. 21 (ANI): Contrary to earlier research, the majority of patients who routinely discontinue peritoneal dialysis do so for psychosocial reasons , according to the results of a recent study.
The retrospective study conducted by Louisiana State University Health New Orleans was published in the American Journal of Medical Sciences.
The research team evaluated the reasons why 27 of the 83 patients enrolled in the peritoneal dialysis program drew between 2016 and 2018. Twenty-four or 86 percent were African Americans. They found that there were psychosocial factors, including mental health illness such as anxiety and depression, loss of support networks, or inability to accept the number of treatment sessions required by peritoneal dialysis , making up 63 percent of the discharge rate due to controllable factors.
According to the National Institutes of Health, peritoneal dialysis is a treatment for renal failure that uses the lining of the abdomen to filter blood inside the body. The dialysis solution flows into the womb through a receiver, where it absorbs waste before it is drained. The process must be done four to six times a day. Patients can perform peritoneal dialysis at home, at work, or while traveling.
Patients with end-stage renal disease need to undergo peritoneal dialysis or hemodialysis – a method of filtering waste from the blood through filters outside the body called dialyzer.
The researchers noted that the United States accounts for the largest percentage of patients with end-stage renal disease in the world but significantly undermines peritoneal dialysis despite its lower costs and lower first-year risk of death.
Peritoneal dialysis may be more accessible because patients do not have to travel to treatment centers. Other benefits include more flexibility in treatment schedules, possibly fewer dietary restrictions, and fewer side effects such as nausea, vomiting, and cramping.
More than 661,000 Americans are diagnosed with renal failure by the National Institutes of Health, of whom 468,000 are on dialysis. Compared to Caucasians, the incidence of stage kidney disease is about 3.7 times higher in African Americans, 1.4 times higher in Native Americans, and 1.5 times higher in Asian Americans. Each year, kidney disease kills more people than breast or prostate cancer. In 2013, more than 47,000 Americans died from kidney disease.
“Early intervention or identification of these problems will allow physicians and care teams to not only improve patient outcomes but also improve the patient’s quality of life,” said Hayden Torres, a third-year medical student at LSU Health School of Medicine New Orleans and also the first author of the paper.
The research team concludes that both patients and carers could benefit from supported counseling and dialysis programs. Future research should focus on ways to improve pre-PD training depending on the type of patient initiating treatment, developing interventions for psychosocial factors leading to exit. , and developing ways to identify sources of psychosocial problems before they affect patients.
Biruh T. Workeneh and Sreedhar Mandayam of the Department of Nephrology at the University of Texas at MD Anderson Cancer Center wrote in their editorial, “As Torres et al. especially in certain numbers because they need to reveal features that may not be obvious and identify areas to focus further research and policy directions. ” psychosocial factors are important features that did not receive enough attention.It is not surprising that their study found when.social failure is due to psychosocial factors, it does so in the first year, which is consistent with other reports.Torres et al. more effectively, lacks strong social and emotional support. “(ANI)