Peritoneal dialysis in the Arabian Gulf countries: Challenges and opportunities.
Despite advantages of peritoneal dialysis over in-centre haemodialysis, PD utilisation remains limited across the Gulf Cooperation Council countries, driven by gaps in patient education, nephrology training, and supportive governmental policy.
Background
The Gulf Cooperation Council comprises six Arab countries with a combined population of about 57.3 million, where the prevalence of patients requiring dialysis is rising, with a current mean prevalence of roughly 551 per million population. Although peritoneal dialysis offers patient-level and health-system benefits compared with in-centre haemodialysis, its growth has been constrained in the region.
Key recommendations
The review attributes underutilisation to deficiencies in chronic kidney disease modality education, limited nephrology training in PD, and the absence of governmental policies advocating for the modality. Establishing a detailed PD registry across GCC countries is highlighted as an important step toward understanding patient characteristics, outcomes, and current practices.
Clinical implications
Addressing education, training, and policy barriers could increase appropriate PD uptake and inform future initiatives to optimise PD care in the region. The authors note that literature on PD patients, outcomes, and practices in GCC countries is limited, so many recommendations are based on clinical observation and available data rather than robust regional evidence.
Category
Research
Source
Perit Dial Int
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