{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T12:17:51Z","timestamp":1778933871339,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institutes of Health\u2019s National Center for Advancing Translational Sciences through the Pediatric Device Innovation Consortium at the University of Minnesota","award":["UL1TR002494"],"award-info":[{"award-number":["UL1TR002494"]}]},{"name":"Joachim and Yuko Heberlein Travel Grant Award at the University of Minnesota"},{"name":"National Science Foundation I-Corps Program","award":["2136350"],"award-info":[{"award-number":["2136350"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Across Latin America (LA), accessibility and affordability of kidney replacement therapy varies, but the prevalence of treated kidney failure generally lags behind higher income regions. Hemodialysis (HD) is more common than peritoneal dialysis (PD) in most LA countries. Expanding PD may help increase dialysis access in acute and chronic kidney disease. This study explored trends in existing kidney replacement therapy programs in LA and the opportunities and challenges for improving PD services from the perspective of physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative data were collected using open-ended, semistructured interviews. Physician participants were recruited from trainees attending a Saving Young Lives workshop on acute kidney injury and acute PD. Thematic analysis was used to identify emergent themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 15 study participants. We identified and explored two main themes: (1) Physicians face many barriers to adequately caring for all dialysis patients, including high costs, geography, equipment and supply limitations, and lack of specialists; and (2) Increasing dialysis access through PD presents opportunities and challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While there are some dialysis programs in LA in which all patients have access to adequate care and dialysis is fully funded, there are many programs with inadequate capacity and funding. PD presents an opportunity to improve dialysis access in LA, particularly for currently underserved patient populations, but challenges related to staff training, supply access, and patient factors must be addressed for PD programs to be sustainable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08968608261437688","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:00:31Z","timestamp":1778500831000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Opportunities and challenges in expanding access to peritoneal dialysis: A qualitative study in Latin America"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9468-6182","authenticated-orcid":false,"given":"Carolyn F","family":"Bernemann","sequence":"first","affiliation":[{"name":"University of Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5244-8933","authenticated-orcid":false,"given":"Madeline","family":"Koul","sequence":"additional","affiliation":[{"name":"School of Product Design, University of Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8909-686X","authenticated-orcid":false,"given":"Brett","family":"Cullis","sequence":"additional","affiliation":[{"name":"University of Cape Town"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1982-9938","authenticated-orcid":false,"given":"William E","family":"Smoyer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, The Research Institute at Nationwide Children's Hospital, The Ohio State University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8003-6913","authenticated-orcid":false,"given":"Guillermo","family":"Hidalgo","sequence":"additional","affiliation":[{"name":"Hackensack Meridian School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8295-0015","authenticated-orcid":false,"given":"Melvin","family":"Bonilla Felix","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Puerto Rico-Medical Sciences Campus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2876-4785","authenticated-orcid":false,"given":"Mignon","family":"McCulloch","sequence":"additional","affiliation":[{"name":"University of Cape Town"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Burleson","sequence":"additional","affiliation":[{"name":"University of Colorado Boulder"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4424-9778","authenticated-orcid":false,"given":"Natasha C","family":"Wright","sequence":"additional","affiliation":[{"name":"University of Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kisu.2024.01.001"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40124-023-00287-2"},{"key":"e_1_3_3_4_2","first-page":"158","article-title":"Chronic kidney disease in children: the global perspective","volume":"79","author":"Caggiani M","year":"2008","unstructured":"Caggiani M. 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