More US patients with kidney failure started, stayed on, and switched to peritoneal dialysis following a payment policy implemented in 2011 by Medicare. The findings, which appear in an upcoming issue of CJASN, suggest that the policy is having a positive impact on an underutilized form of dialysis that may be preferred by patients.
Home-based peritoneal dialysis offers a number of benefits over traditional hemodialysis performed several times a week in dialysis clinics. These include greater satisfaction of patients with treatment and lower costs to society. Despite these apparent benefits, the use of peritoneal dialysis in the United States has traditionally been low.