{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:46:40Z","timestamp":1787615200021,"version":"build-2736575974"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      The proportion of dialysis patients performing PD in Australia is decreasing over time.\n                      <jats:sup>\n                        <jats:xref ref-type=\"bibr\">1<\/jats:xref>\n                      <\/jats:sup>\n                      Understanding the trends in population, the rates and causes of peritonitis and haemodialysis (HD) transfer over time is critical towards understanding this trend.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Study Design: Registry-based cohort study using Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry data. Inclusion criteria: All Australian patients starting PD older than 18 years, starting PD within 90 days of KRT entry from 1 January 2013 through 31 December 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis<\/jats:title>\n                    <jats:p>Peritonitis rates were analysed using Poisson regression, while time to first peritonitis and HD transfer were assessed using Cox Proportional Hazards and competing-risks regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The demographic profile of PD patients has remained relatively stable. Peritonitis rates declined from 0.40 to 0.33 infections per patient-year between 2013 and 2022. Over time, peritonitis-associated HD transfer reduced, HR 0.96 [95% CI: 0.93\u20130.98],\n                      <jats:italic toggle=\"yes\">p\u2009<\/jats:italic>\n                      &lt;\u2009\n                      <jats:italic toggle=\"yes\">.<\/jats:italic>\n                      001. Despite this, there was a deterioration in overall HD transfer, HR 1.03 [95% CI: 1.02\u20131.04] per year,\n                      <jats:italic toggle=\"yes\">p\u2009<\/jats:italic>\n                      &lt;\u2009\n                      <jats:italic toggle=\"yes\">.<\/jats:italic>\n                      001 and worse adjusted non-infective HD transfer HR 1.02 [95% CI: 1.01\u20131.04] per year,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.006.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PD utilisation in Australia has declined over the past decade, despite improvements in peritonitis rates and peritonitis-associated HD transfer. The demographic profile of PD patients has remained relatively stable, suggesting systemic rather than patient-level factors are driving these trends. The apparent disconnect between infection control improvements and overall HD transfer highlights the growing importance of non-infective contributors such as access, psychosocial factors, and clinical support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08968608251401387","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T16:30:22Z","timestamp":1765902622000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Trends in peritoneal dialysis demographics, peritonitis and HD transfer in Australia from 2013\u20132022"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2913-3312","authenticated-orcid":false,"given":"Jarrad","family":"Hopkins","sequence":"first","affiliation":[{"name":"Central and Northern Adelaide Renal and Transplantation Services (CNARTS)"},{"name":"The University of Adelaide"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8385-7615","authenticated-orcid":false,"given":"Annie","family":"Conway","sequence":"additional","affiliation":[{"name":"The University of Adelaide"},{"name":"ANZDATA Registry, South Australia Health and Medical Research Institute, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5491-3460","authenticated-orcid":false,"given":"David W","family":"Johnson","sequence":"additional","affiliation":[{"name":"University of Queensland"},{"name":"Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, QLD, Australia"},{"name":"Translational Research Institute, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Borlace","sequence":"additional","affiliation":[{"name":"Central and Northern Adelaide Renal and Transplantation Services (CNARTS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5884-640X","authenticated-orcid":false,"given":"Neil","family":"Boudville","sequence":"additional","affiliation":[{"name":"Medical School, University of Western Australia, Perth, WA, Australia"},{"name":"Department of Renal Medicine, Sir Charles Gairdner Hospital, Perth, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Tomlins","sequence":"additional","affiliation":[{"name":"Department of Nephrology, John Hunter Hospital","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Chau","sequence":"additional","affiliation":[{"name":"Western Renal Services (Western Sydney and Nepean Blue Mountains Local Health Districts)"},{"name":"Blacktown and Mount Druitt Clinical School, School of Medicine, Western Sydney University, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny HC","family":"Chen","sequence":"additional","affiliation":[{"name":"Wollongong Hospital"},{"name":"University of Wollongong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Mcdonald","sequence":"additional","affiliation":[{"name":"Central and Northern Adelaide Renal and Transplantation Services (CNARTS)"},{"name":"The University of Adelaide"},{"name":"ANZDATA Registry, South Australia Health and Medical Research Institute, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"46th report","author":"ANZDATA Registry","year":"2023","unstructured":"ANZDATA Registry. 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