Review Article
Peritoneal Dialysis Drop-out: Causes and Prevention Strategies
Table 1
Potential causes of transfer to HD.
| Modality related |
| Peritonitis | Tunnel infection, exit site infections | Inadequate dialysis | Ultrafiltration failure | Catheter malfunction |
| System related |
| Lack of patient education/training | Transfer to a facility where PD is unavailable | Center effect | Provider expertise | Ownership of dialysis facility |
| Patient related |
| Patient fatigue/burnout | Social reasons, family, occupation, and so forth | Geography: distance to travel | Loss of RRF | Malnutrition and/or excess protein loss | Abdominal surgeries/hernia | Stroke or severe illness, limiting the manual dexterity |
|
|