The Australian Peritoneal Dialysis Outcomes and Practice Patterns Study

Principal Investigator: Professor David Johnson
Clinical Project Manager: Laura Hickey (AKTN)
Trial Number: AKTN 13.01

Population: Adults receiving chronic maintenance PD
Intervention: N/A – observational study
Follow-up: 3 years
Primary aim: To understand the impact of modifiable practices in the management of PD patients on the risk of all-cause peritonealdialysis technique failure.

Final Recruitment: 543/620
Status: Data Analysis ongoing

Trial Summary
Peritoneal dialysis (PD) is a form of home dialysis that is substantially cheaper and associated with better early survival than standard hospital based haemodialysis. Its use in Australia has been severely limited by poor outcomes compared to the rest of the world. This international study aims to identify the ‘real world’ PD centre practices that will lead to better outcomes for Australian patients, greater uptake of home dialysis and health savings of tens of millions of dollars annually. The study will gather worldwide information relating to PD techniques, complications and outcomes. With this knowledge we aim to increase our understanding of the impact of possible changes in approaches to the management of PD.

Some of the specific aspects of PD care that will be assessed for potential improvements include:

  • PD catheter access & function
  • Patient training and education
  • Prevention & management of infection
  • Dialysis prescription & fluid management
  • Patient support.

Trial Results
The study is complete in Australia as part of phase 1 of PDOPPS. The study is continuing in other countries as part of phase 2 of PDOPPS.

In Australia 543 PD patients took part from 19 PD units.