Abstract

The Thai Peritoneal Dialysis(PD) first policy has improved survival of end-stage renal disease patients before kidney transplantation(KT) since 2008. However, evidence on their attitude toward the policy and the KT accessibility has been lacking. This study aims to assess PD care satisfaction and KT attitude among Continuous Ambulatory Peritoneal Dialysis(CAPD) patients under the Thai PD first policy. A telephone questionnaire including demographic data, general opinion on PD first policy, PD treatment satisfaction, and KT knowledge and attitude was conducted in April 2018 among 105 randomly selected PD patients from two PD centers in a large city. The mean age of PD patients was 55.71 years, and their dialysis vintage was 3.49 years on average. Majority of them were satisfied(80.00%) and very satisfied(3.81%) whereas only 1.9% expressed their dissatisfaction. Ninety-nine patients(94.29%) agree with PD first policy, of which 67.68% stated that this policy could help reduce their expense. Of 105 patients, 25.71% declared that they had KT knowledge and 78.10% would like to undergo KT. The main motivation factor to undergo KT was the increased chance to work and contribute back to the society(47.56%). The Thai PD First Policy has been well received. The need for transition to KT exists and a good strategic plan to improve knowledge about and to prepare for KT is required.

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