{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T19:06:10Z","timestamp":1779044770485,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T00:00:00Z","timestamp":1744761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p>Brunei Darussalam, a small Southeast Asian nation, faces a unique healthcare challenge with one of the world's highest incidence and prevalence of kidney replacement therapy. This report highlights the remarkable success of Brunei in increasing the utilization of peritoneal dialysis (PD) to address this challenge. As of August 2023, Brunei's PD penetrance rate stands at 16%, a significant leap from 9.7% just three years ago. This is comparable to many other high-income countries. The key to this success lies in a series of governmental support strategies that fostered rapid PD growth. These strategies include the establishment of a dedicated task force, securing dedicated operating theater slots, collaboration with surgery and anesthesia departments, nephrologist training, a dedicated surgeon for complex cases, outsourcing to private hospitals, prioritizing nursing staff, structured patient training programs, patient advocacy and established clinical protocols. These collaborative efforts, along with a patient-centric approach, have not only reduced PD catheter insertion waiting times but also empowered patients to voice their preferences in shared decisions. Brunei's journey serves as an inspiring example for other nations seeking to proliferate their PD services.<\/jats:p>","DOI":"10.1177\/08968608251331878","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T15:47:04Z","timestamp":1744818424000},"page":"277-281","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Catalyzing peritoneal dialysis growth in Brunei: The crucial role of governmental support"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8471-8383","authenticated-orcid":false,"given":"Chiao Yuen","family":"Lim","sequence":"first","affiliation":[{"name":"Raja Isteri Pengiran Anak Saleha Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yee Yin","family":"Lim","sequence":"additional","affiliation":[{"name":"Raja Isteri Pengiran Anak Saleha Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8176-9393","authenticated-orcid":false,"given":"Jackson","family":"Tan","sequence":"additional","affiliation":[{"name":"Raja Isteri Pengiran Anak Saleha Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swee Hui","family":"Ang","sequence":"additional","affiliation":[{"name":"Ministry of Health, Bandar Seri Begawan, Brunei Darussalam"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,16]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0002342021"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2021.10.003"},{"key":"e_1_3_3_4_2","unstructured":"United States Renal Data System. 2022 annual data report: epidemiology of kidney disease in the United States https:\/\/adr.usrds.org\/2022 (accessed 1 October 2023)."},{"key":"e_1_3_3_5_2","unstructured":"UK Renal Registry 25th Annual Report https:\/\/ukkidney.org\/sites\/renal.org\/files\/publication\/file-attachments\/25th%20Annual%20Report%20Final%2030.6.23.pdf (accessed 1 October 2023)."},{"key":"e_1_3_3_6_2","unstructured":"ANZDATA 46th Annual Report 2023 (data to 2022) https:\/\/www.anzdata.org.au\/wp-content\/uploads\/2023\/09\/2022-ANZDATA-Australia-Summary-Consumer-Infographic-v2.pdf (accessed 1 October 2023)."},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0000462019"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2023.07.012"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0896860819895356"}],"container-title":["Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08968608251331878","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08968608251331878","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08968608251331878","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T18:10:39Z","timestamp":1779041439000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08968608251331878"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,16]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/08968608251331878"],"URL":"https:\/\/doi.org\/10.1177\/08968608251331878","relation":{},"ISSN":["0896-8608","1718-4304"],"issn-type":[{"value":"0896-8608","type":"print"},{"value":"1718-4304","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,16]]}}}