2026 ISPD Position Statement on tracking and reporting loss from PD therapy
Year: 2026
Type: article
Abstract: Peritoneal dialysis (PD) is being promoted worldwide, but nearly half of all patients who start PD will no longer be on therapy at two years, representing an important barrier to maximizing the safe and effective use of the therapy. Loss most commonly occurs due to HD transfer, death, or the receipt of a kidney transplant, but can also occur because patients recover kidney function, transfer to another dialysis program, or are lost to follow-up. Historically, the term "technique failure" has been used to describe loss from PD, but there has been no consistent definition, and as a consequence, it has been unclear whether the observed variability in the reported risk is related to differences in patient characteristics, practice patterns, or simply differences in the way it was defined, measured, analyzed, or reported. The International Society for Peritoneal Dialysis (ISPD) convened a working group to provide recommendations around key issues related to measuring time on PD therapy. These included standardizing definitions for causes of loss, as well as their measurement, analysis, and reporting. Key performance indicators were proposed for the purpose of benchmarking and to facilitate quality improvement and research. The target audience of this document includes physicians and other healthcare providers, dialysis programs, researchers, and national registries.
Authors: Rob R Quinn, David W Johnson, Rajnish Mehrotra, Simon J Davies, Angela Yee-Moon Wang, Annie-Claire Nadeau-Fredette, Jeffrey Perl, Ali K Abu-Alfa, Olof Heimbürger, Annabel Boyer, Arpana Iyengar, Danielle Eleri Fox, Thyago Proença de Moraes, Mignon McCulloch, Patricia Gooden, Nancy Verdin, Mark Lambie
Institutions: University of Calgary, The University of Queensland, Princess Alexandra Hospital, Princess Alexandra Hospital, University of Washington, Keele University, National University of Singapore, Duke-NUS Medical School, Université de Montréal, St. Michael's Hospital, Unity Health Toronto, Yale University, American University of Beirut, Karolinska University Hospital, Karolinska Institutet, Centre Hospitalier Universitaire de Caen Normandie, St. John's National Academy of Health Sciences, Pontifícia Universidade Católica do Paraná, University of Cape Town, Royal Free London NHS Foundation Trust, The Royal Free Hospital
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,150
OpenAlex ID: W7165033818