Peritoneal Dialysis-First Policy: Historical and Current Perspectives

10.6221/AN.202409_38(3).0001

Lik Fung-Sam Lau；Philip Kam-Tao Li

Hong Kong ； PD First Policy ； peritoneal dialysis

Acta Nephrologica

38卷3期（2024 / 09 / 01）

137 - 145

英文

Peritoneal dialysis (PD)-First Policy has been established in Hong Kong since 1985 and it has been successful given the collaborative effort from the government, health ministries, medical professionals, patients and caregivers. The PD-First Policy represented a significant advancement in the management of end stage kidney disease (ESKD), building upon historical achievements in PD and embracing the current evidence supporting its clinical, social and economic benefits. By adopting the PD-First Policy, the healthcare system can optimize patient outcomes, enhance resource allocation and improve overall care for ESKD patients. However, addressing the challenges associated with implementation is crucial for realizing the full potential of the PD-First Policy in transforming kidney replacement therapy practice.