Maureen Anyango Yonga, Grace Kirigo Githemo, Jonathan Wala




Introduction: End-stage renal disease is a debilitating condition worldwide. Peritoneal dialysis remains a relatively cheap and an effective renal therapy though, greatly underutilised in management of renal disease patients. Patient factors significantly play a role in its underutilization.

Methods: This was a descriptive correlation study aiming at evaluating patient related factors influencing utilization of peritoneal dialysis in management of end stage renal disease. 109 participants recruited through census method. Semi-structured questionnaire used to collect data. Data analysed, descriptive statistics used to summarize the findings, Chi- square to test for association and logistic regression to determine the predictors for utilization.

Findings: 71(65%) of the patients were not aware of peritoneal dialysis. Statistical significance association (p<0.05) between level of peritoneal dialysis utilization and age groups x2(2,n=108)=58.85, p=.000, marital status x2(1, n=108)=9.860, p=.002 and level of education x2(3,n=108)=10.557, p=0.014. Also occupation x2(3,n=108)=8.42, p=.038, patient knowledge x2(1,n=108)=6.188,p=.013. The predictors were patient level of education (OR 0.914,95%CI 0.008-0.925) and knowledge (OR 0.724,95%CI 0.046-0.793).

Conclusions: Education level and having knowledge on peritoneal dialysis plays a significant role in its utilization. Therefore, health professionals should advocate for peritoneal dialysis services, give pre-dialysis education and individualize treatment.

Keywords: End stage renal disease, Patient factors, Peritoneal dialysis



End stage renal disease, Patient factors, Peritoneal dialysis

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Ahmed, I. A. M., Musa, E. A., Shaikh, Q., & Elsharif, M. E. (2018). Kidney Transplantation in Sudan. Transplantation, 102(10), 1583-1585.

Briggs, V., Davies, S., & Wilkie, M. (2019). International Variations in Peritoneal Dialysis Utilization and Implications for Practice. American Journal of Kidney Diseases.

Chen Ashton. (2015). The advantages of peritoneal dialysis. Journal of American Association of KidneybPatients.

Cherono, R. J., Role, E., & Owino, J. (2017). THE PREVALENCE AND RISK FACTORS FOR CHRONIC KIDNEY DISEASES IN KERICHO COUNTY, KENYA. Baraton Interdisciplinary Research Journal, (7), 1–10.

Covic, A., Segall, L., Nistor, I., Van Biesen, W., Brown, E. A., Heaf, J. G., … Farrington, K. (2015). Dialysis modality choice in elderly patients with end-stage renal disease: a narrative review of the available evidence. Nephrology Dialysis Transplantation, 32(1), 41–49.

Elzorkany, K. M. A. (2017). Current state of continuous ambulatory peritoneal dialysis in Egypt. Saudi Journal of Kidney Diseases and Transplantation: An Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 28(6), 1369–1374.

Gandhi, K., Prasad, D., Malhotra, V., Agrawal, D., Beniwal, P., & Mathur, M. (2015). Periodic Peritoneal Dialysis in End Stage Renal Disease: Is it Still Relevant? A Single Center Study from India. Annals of Medical and Health Sciences Research, 5(6), 379–384.

Giuliani, A., Karopadi, A. N., Prieto-Velasco, M., Manani, S. M., Crepaldi, C., & Ronco, C. (2017). Worldwide experiences with assisted peritoneal dialysis. Peritoneal Dialysis International, 37(5), 503-508.

Isla, R. A. T., Mapiye, D., Swanepoel, C. R., Rozumyk, N., Hubahib, J. E., & Okpechi, I. G. (2014). Continuous ambulatory peritoneal dialysis in Limpopo province, South Africa: predictors of patient and technique survival. Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis, 34(5), 518–525.

Kwalimwa, J., Mwaura, J., Muiva, M., Bor, T., & Chebor, A. (n.d.). PP 24-31 and technology, Kenya) 2 (School of Nursing Sciences, 4(6).

Liu, F. X., Gao, X., Inglese, G., Chuengsaman, P., Pecoits-Filho, R., & Yu, A. (2015). A global overview of the impact of peritoneal dialysis first or favored policies: An opinion. Peritoneal Dialysis International, 35(4), 406–420.

Luyckx, V. A., Tonelli, M., & Stanifer, J. W. (2018). The global burden of kidney disease and the sustainable development goals. Bulletin of the World Health Organization, 96(6), 414–422D.

Mudge, D. W., Boudville, N., Brown, F., Clayton, P., Duddington, M., Holt, S., & Voss, D. (2016). Peritoneal dialysis practice in Australia and New Zealand: A call to sustain the action. Nephrology, 21(7), 535-546.

Musiime, G. M., Kinuthia, D. M., Oyatsi, D. P., & Manguyu, W. (2017). Joubert’s syndrome and related disorders and home-based peritoneal dialysis in East Africa: a case report. BMC research notes, 10(1), 696.

Ngaruia, G. University of Nairobi (2010). A retrospective cohort study on the effectiveness of automated peritoneal dialysis in the management of acute renal failure in Kenya.

Querido, S., Branco, P. Q., Costa, E., Pereira, S., Gaspar, M. A., & Barata, J. D. (2015). Results in Assisted Peritoneal Dialysis: A Ten-Year Experience. International Journal of Nephrology, 2015, 1–5.

Rippe, B. (2018). 96 - Peritoneal Dialysis: Principles, Techniques, and Adequacy. Comprehensive Clinical Nephrology (Sixth Edit). Elsevier Inc.

Sinnakirouchenan, R., & Holley, J. L. (2011). Peritoneal dialysis versus hemodialysis: Risks, benefits, and access issues. Advances in Chronic Kidney Disease.

Wetmore, J. B., & Collins, A. J. (2016). Global challenges posed by the growth of end-stage renal disease. Renal Replacement Therapy, 2(1), 15.


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