Transition Between Different Renal Replacement Modalities: Gaps in Knowledge and Care-The Integrated Research Initiative

Christopher Chan, Division of Nephrology, University Health Network, Toronto, Ontario, Canada.
Gill Combes, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
Simon Davies, Institute for Applied Clinical Sciences, Keele University, Keele, UK, and Department of Nephrology, University Hospitals of North Midlands, Stoke-on-Trent, UK.
Fred Finkelstein, Yale University, New Haven, NJ, USA.
Catherine Firanek, Renal Division, Baxter Healthcare Corporation, Deerfield, IL, USA.
Rafael Gomez, Renal Unit, RTS Versalles, Cali, Colombia.
Kitty J. Jager, ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Amsterdam Public Health Research Institute, University of Amsterdam, The Netherlands.
Vivek Jha George, Institute for Global Health, New Delhi, India.
David W. Johnson, Princess Alexandra Hospital, Woolloongabba, Australia.
Mark Lambie, Institute for Applied Clinical Sciences, Keele University, Keele, UK, and Department of Nephrology, University Hospitals of North Midlands, Stoke-on-Trent, UK.
Magdalena Madero, Instituto Nacional de Cardiología, Mexico City, Mexico.
Ikuto Masakane, Department of Nephrology, Yabuki Hospital, Yamagata, Japan.
Stephen McDonald, Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia, and University of Adelaide, Adelaide, Australia.
Madhukar Misra, Department of Medicine, Division of Nephrology, University of Missouri, Columbia, MO, USA.
Sandip Mitra, Nephrology Department, Central Manchester University Hospital NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Thyago Moraes, Nephrology, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Annie-Claire Nadeau-Fredette, Department of Medicine, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montreal, QC, Canada.
Purna Mukhopadhyay, Arbor Research Collaborative for Health, Ann Arbor, MI, USA.
Jeff Perl, Division of Nephrology, University Health Network, Toronto, Ontario, Canada.
Ronald Pisoni, Arbor Research Collaborative for Health, Ann Arbor, MI, USA.
Bruce Robinson, Arbor Research Collaborative for Health, Ann Arbor, MI, USA.
Dong-Ryeol Ryu, Department of Internal Medicine, School of Medicine, Ewha Womans University, Seoul, South Korea.
Rajiv Saran, Division of Nephrology, Department of Medicine & Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA.
James Sloand, Renal Division, Baxter Healthcare Corporation, Deerfield, IL, USA.
Nidhi Sukul, Nephrology Department, University of Michigan, Ann Arbor, MI, USA.
Allison Tong, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Cheuk-Chun Szeto, Department of Medicine & Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China.
Wim Van Biesen, Ghent University Hospital, Ghent, Belgium Wim.vanbiesen@ugent.be.

Document Type

Journal Article

Publication Date

1-1-2019

Journal

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis

Volume

39

Issue

1

DOI

10.3747/pdi.2017.00242

Keywords

Integrated care; barriers; collaboration; international; patient beliefs; planned/unplanned transitions

Abstract

Patients with end-stage kidney disease (ESKD) have different options to replace the function of their failing kidneys. The "integrated care" model considers treatment pathways rather than individual renal replacement therapy (RRT) techniques. In such a paradigm, the optimal strategy to plan and enact transitions between the different modalities is very relevant, but so far, only limited data on transitions have been published. Perspectives of patients, caregivers, and health professionals on the process of transitioning are even less well documented. Available literature suggests that poor coordination causes significant morbidity and mortality.This review briefly provides the background, development, and scope of the INTErnational Group Research Assessing Transition Effects in Dialysis (INTEGRATED) initiative. We summarize the literature on the transition between different RRT modalities. Further, we present an international research plan to quantify the epidemiology and to assess the qualitative aspects of transition between different modalities.

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