Abstract: FR-PO1068
Peritoneal Dialysis in Hospitals: Surveying the Landscape
Session Information
- Home Dialysis: Modalities, Barriers, Utilization, and Clinical Outcomes
October 23, 2026 | Location: Exhibit Hall A, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 802 Dialysis: Home Dialysis and Peritoneal Dialysis
Authors
- Hsu, Caroline M., Tufts Medical Center, Boston, Massachusetts, United States
- Kaur, Tavleen, Tufts Medical Center, Boston, Massachusetts, United States
- Harford, Antonia, Dialysis Clinic Inc, Nashville, Tennessee, United States
- Meyer, Klemens B., Tufts Medical Center, Boston, Massachusetts, United States
- Weiner, Daniel E., Tufts Medical Center, Boston, Massachusetts, United States
Background
High-quality peritoneal dialysis (PD) during hospitalization is a critical part of optimal PD care. Anecdotal evidence suggests that PD in hospitals may have limited availability, and inadequate resources and/or experience may translate into poorer patient outcomes, such as hospital-acquired peritonitis and transfer to hemodialysis. Recent data beyond anecdote are lacking, and characterization of PD provision by hospitals is needed.
Methods
Beginning in fall 2025, we used snowball recruitment to survey nephrologists throughout the US about the hospitals at which they provide inpatient coverage. In a REDCap-based survey, multiple-choice questions asked about PD capacity at different levels of care (emergency rooms, hospital floors, ICUs), capacity for continuous cyclic PD (CCPD) and continuous ambulatory PD (CAPD), the nursing model for providing PD, and the quality of PD care at each hospital. Respondents had opportunities to provide free-text responses. Recruitment is ongoing.
Results
As of May 2026, 67 survey respondents have provided data on 102 hospitals in 27 states. Of these, 51 are community hospitals, and 41 are academic hospitals. The vast majority of hospitals (92) can provide at least one form of PD on at least one floor. Of these, 37 have both CCPD and CAPD, 33 have CCPD only, and 22 have CAPD only. PD was provided by specified floors or units at 34 hospitals, by a roving or on-call specialist at 44 hospitals, and a combination thereof at 9 hospitals. Physician satisfaction with inpatient PD care varied across different required skills: 73% of responses indicated being confident or very confident that correct aseptic technique was used, and about 60% of responses indicated similar confidence in optimal testing and treatment for peritonitis. Only 37% of responses indicated confidence in recognition and management of poor PD drainage.
Conclusion
Though PD in some form is widely available in hospitals, a minority of hospitals have both CCPD and CAPD available, and the quality of PD varies greatly. These quantitative data, supplemented by future qualitative interviews, shed light on the broader health system's support for PD.
Acknowledgment
CMH is supported by ASN KidneyCure's Transition to Independence Grant to conduct this project.
Funding
- Private Foundation Support