{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T11:53:18Z","timestamp":1781610798765,"version":"3.54.5"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Peritoneal dialysis (PD) is an effective, patient-centered, cost-efficient kidney replacement therapy (KRT) that preserves autonomy. However, long-term PD survival is limited, and many patients eventually transfer to hemodialysis (HD). Transition to self-care HD remains rare (&amp;lt;10%), with most patients moving to in-center HD. We evaluated whether an integrated self-care dialysis program\u2014encompassing PD, home HD and satellite self-care HD\u2014could improve transition rates from PD to self-care HD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective, single-center cohort study including all incident adult PD patients at Cliniques universitaires Saint-Luc, Brussels, between 2010 and 2021. Pediatric patients, those still on PD, or transferred elsewhere were excluded. Baseline clinical characteristics, comorbidities, and outcomes were compared between patients transitioning from PD to in-center HD versus self-care HD (home HD or satellite).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 112 patients, 45 transitioned from PD to HD: 24 (53.3%) to in-center HD, 14 (31.1%) to home HD, and 7 (15.6%) to satellite self-care HD. Nearly half (47%) transitioned to a self-care modality. Compared with in-center HD patients, self-care HD patients were younger (45 vs 67 years), more frequently female, had lower comorbidity scores, and were more often listed for transplantation. Causes of transition differed: inadequate dialysis predominated in self-care HD, while infections and mechanical complications were more frequent in in-center HD. Mortality was lower in self-care HD; transplantation rates were similar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Integrated home dialysis programs facilitate transitions from PD to self-care HD, preserve autonomy, and improve survival, supporting a \u201cPD first, self-care HD second\u201d approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/joneph\/aajag004","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T12:24:51Z","timestamp":1767702291000},"page":"371-380","source":"Crossref","is-referenced-by-count":0,"title":["An integrated home dialysis model facilitates transition from peritoneal dialysis to self-care hemodialysis: evidence from a Belgian cohort"],"prefix":"10.1093","volume":"39","author":[{"given":"Afonso Sepulveda","family":"Santos","sequence":"first","affiliation":[{"name":"Department of Nephrology, Cliniques universitaires Saint-Luc, Universit\u00e9 catholique de Louvain , Brussels ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2108-5280","authenticated-orcid":false,"given":"In\u00e8s","family":"Dufour","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Cliniques universitaires Saint-Luc, Universit\u00e9 catholique de Louvain , Brussels ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6925-1989","authenticated-orcid":false,"given":"Johann","family":"Morelle","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Cliniques universitaires Saint-Luc, Universit\u00e9 catholique de Louvain , Brussels ,","place":["Belgium"]},{"name":"Division of Nephrology, University Hospitals Namur (CHU UCL Namur) , Namur ,","place":["Belgium"]},{"name":"de Duve Institute, UCLouvain , Brussels ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9242-7148","authenticated-orcid":false,"given":"Eric","family":"Goffin","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Cliniques universitaires Saint-Luc, Universit\u00e9 catholique de Louvain , Brussels ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"2026061607065895400_aajag004-B1","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1053\/j.ajkd.2020.05.032","article-title":"Peritoneal dialysis use and practice patterns: an international survey study","volume":"77","author":"Cho","year":"2021","journal-title":"Am J Kidney Dis"},{"key":"2026061607065895400_aajag004-B2","doi-asserted-by":"publisher","first-page":"2553","DOI":"10.1093\/ndt\/gft214","article-title":"Cost of peritoneal dialysis and haemodialysis across the 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