Scholten, Nadine, Ohnhaeuser, Tim, Schellartz, Isabell, von Gersdorff, Gero, Hellmich, Martin, Karbach, Ute, Pfaff, Holger ORCID: 0000-0001-9154-6575, Samel, Christina, Stock, Stephanie, Rascher, Katherine and Mettang, Thomas (2019). Multidimensional analysis of factors responsible for the low prevalence of ambulatory peritoneal dialysis in Germany (MAU-PD): a cross-sectional Mixed-Methods Study Protocol. BMJ Open, 9 (4). LONDON: BMJ PUBLISHING GROUP. ISSN 2044-6055

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Abstract

Introduction Patients with end-stage kidney failure can be treated either by transplant or by dialysis, which can be administered as haemodialysis (HD) or peritoneal dialysis (PD). Although they are equivalent therapeutic options in terms of mortality, the percentage of patients in Germany treated with PD is currently very low (similar to 6%) compared with other countries. The aim of our study is to analyse the factors behind this percentage and their relevance to the choice of dialysis treatment in Germany. This includes analyses of regional disparities in the provision of care for dialysis patients as well as the evaluations of costs and the influence of reimbursement structures. This approach should provide further insights to explain the variation in the usage of PD and HD and will help to define starting points for future interventions. Methods and analysis A mixed-methods approach will be applied to several data sources, including administrative data (ambulatory physicians' claim data, statutory health insurance claim data), quality assurance data from one of the largest German dialysis providers Kuratorium fur Dialyse (KfH) and qualitative and quantitative survey data (patients, nephrologists and dialysis nurses). Qualitative data will be analysed content-analytically. Based on the quantitative data, multivariable analyses will be performed and, where possible, hierarchical models will be tested. This multidimensional approach will enable us to account for the different factors influencing the penetration of PD in Germany. Ethics and dissemination Ethics approval (17-299) has been obtained from the Ethics Committee of the Medical Faculty of the University of Cologne on 25 April 2018. National and international dissemination will be accomplished by informing healthcare practitioners, patients and professional organisations and other stakeholders via conferences, scientific and non-scientific publications and seminars.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Scholten, NadineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ohnhaeuser, TimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schellartz, IsabellUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Gersdorff, GeroUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hellmich, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karbach, UteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pfaff, HolgerUNSPECIFIEDorcid.org/0000-0001-9154-6575UNSPECIFIED
Samel, ChristinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stock, StephanieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rascher, KatherineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mettang, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-146603
DOI: 10.1136/bmjopen-2018-025451
Journal or Publication Title: BMJ Open
Volume: 9
Number: 4
Date: 2019
Publisher: BMJ PUBLISHING GROUP
Place of Publication: LONDON
ISSN: 2044-6055
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
HOME DIALYSIS; HEMODIALYSIS; IMPACT; THERAPY; 1STMultiple languages
Medicine, General & InternalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/14660

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