{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:41:10Z","timestamp":1777927270166,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"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:p>Assisted peritoneal dialysis (PD) enables home-based kidney replacement therapy for patients with physical, cognitive, or social limitations. Although structured-assisted PD programs exist internationally, little is known about their implementation in Argentina. We conducted a multicenter, cross-sectional study including adult patients (\u226518 years) on assisted PD from 29 centers across the country between 28 July and 18 August 2025. Among 874 active PD patients, 184 (21%) were receiving assisted PD. Median age was 64 years (IQR: 45.5\u201375), and 75% initiated PD directly under assisted conditions. Most assistance was provided by family caregivers (90.8%), while professional support was uncommon (4.9% nurses; 3.3% paid caregivers). Motor impairment (45.1%), learning difficulties (38.6%), visual limitations (35.9%), and cognitive disorders (22.8%) were the most frequent indications for assistance. Patients reporting \u22653 contributing factors were significantly more likely to require complete assistance (p\u2009=\u20090.001). Older age was associated with complete assistance (p\u2009&lt;\u20090.001), lower transplant listing rates (p\u2009&lt;\u20090.001), and history of peritonitis (p\u2009=\u20090.033). Assistance type was not associated with peritonitis occurrence or dialysis adequacy (Kt\/V\u2009\u2265\u20091.7). These findings show that assisted PD in Argentina relies predominantly on informal, family-based support rather than structured or funded professional programs. The model reflects unmet needs in training, caregiver support, and resource allocation. Strengthening formal-assisted PD programs may improve equity, ensure sustainable access to home dialysis and better support functionally dependent patients.<\/jats:p>","DOI":"10.1177\/08968608261435118","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T11:10:50Z","timestamp":1774264250000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Family caregiver-assisted peritoneal dialysis in Argentina: A multicenter descriptive study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6137-4140","authenticated-orcid":false,"given":"Guillermo","family":"Fragale","sequence":"first","affiliation":[{"name":"Hospital Universitario Austral"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2896-8641","authenticated-orcid":false,"given":"Romina","family":"Fabro","sequence":"additional","affiliation":[{"name":"Hospital Universitario Austral"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9742-3016","authenticated-orcid":false,"given":"Daniela","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Hospital Universitario Austral"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Dessole","sequence":"additional","affiliation":[{"name":"Hospital Universitario Austral"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30045-3"},{"key":"e_1_3_3_3_2","unstructured":"Instituto Nacional Central \u00danico Coordinador de Ablaci\u00f3n e Implante (INCUCAI). Sistema Nacional de Informaci\u00f3n de Procuraci\u00f3n y Trasplante de la Rep\u00fablica Argentina (SINTRA): Central de Reportes y Estad\u00edsticas (CRESI) https:\/\/cresi.incucai.gov.ar\/IniciarCresiFromSintra.do (accessed 20 August 2025)."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.08.028"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-020-01449-2"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2025.04.019"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2018.00268"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq085"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.04170321"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfaa051"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/20543581221113387"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/08968608211049882"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2023.01.006"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/08968608241246447"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/08968608221149546"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/08968608221080586"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfl760"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1159\/000494664"}],"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\/08968608261435118","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08968608261435118","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08968608261435118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:39:26Z","timestamp":1777675166000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08968608261435118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,23]]},"references-count":17,"alternative-id":["10.1177\/08968608261435118"],"URL":"https:\/\/doi.org\/10.1177\/08968608261435118","relation":{},"ISSN":["0896-8608","1718-4304"],"issn-type":[{"value":"0896-8608","type":"print"},{"value":"1718-4304","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,23]]},"article-number":"08968608261435118"}}