{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T12:06:58Z","timestamp":1784376418909,"version":"3.55.0"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"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>\n                    Centre-related factors, in addition to patient-related factors, are known to influence the outcomes of patients on peritoneal dialysis (PD). It is unclear if the nursing staff-to-patient ratios at different PD centres affect peritonitis outcomes. Our study aimed to examine whether full-time equivalent (FTE) PD nurse\u2013patient ratios in individual PD centres were associated with centre-level outcomes of patients on PD. We used a cross-sectional survey of nursing leads of PD units across Australia and multi-centre registry data linkage. Of the 38 PD units in Australia, 28 (73.7%) nursing leads responded to the survey. The overall FTE PD nurse\u2013patient ratio was 1 nurse to 12.7 patients (median; interquartile range 9.8\u201316.5), with substantial variability between PD units. There was no significant association between the FTE PD nurse\u2013patient ratios and unit-specific peritonitis rates, overnight hospitalisation rates for peritonitis, mortality rates within 30 days of infection, or haemodialysis (HD) transfer rates. However, there was a moderate positive correlation between nurse FTE and transfer to HD rates (\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    \u2009=\u20090.476,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.01). While our study revealed large variability in FTE PD nurse\u2013patient ratios between PD units across the country, it was not associated with clinically significant PD outcomes between centres. Therefore, PD nurse\u2013patient ratios may not be an important centre-related factor to explain variability in clinically meaningful PD outcomes between centres.\n                  <\/jats:p>","DOI":"10.1177\/08968608261468828","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T13:45:22Z","timestamp":1784123122000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of nurse\u2013patient ratios with outcomes in patients on peritoneal dialysis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6445-4314","authenticated-orcid":false,"given":"Chau Wei","family":"Ling","sequence":"first","affiliation":[{"name":"The University of Sydney"},{"name":"Division of Pharmacy, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5128-7115","authenticated-orcid":false,"given":"Ronald L","family":"Castelino","sequence":"additional","affiliation":[{"name":"The University of Sydney"},{"name":"Department of Pharmacy, Blacktown Hospital, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8911-6856","authenticated-orcid":false,"given":"Josephine SF","family":"Chow","sequence":"additional","affiliation":[{"name":"The University of Sydney"},{"name":"South Western Sydney Nursing &amp; Midwifery Research Alliance, South Western Sydney Local Health District, Liverpool, NSW, Australia"},{"name":"Faculty of Medicine, The University of New South Wales, Sydney, Australia"},{"name":"NICM Health Research Institute, Western Sydney University, NSW, Australia"},{"name":"Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia"},{"name":"Faculty of Health, University of Tasmania, Hobart, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent W","family":"Lee","sequence":"additional","affiliation":[{"name":"Westmead Hospital"},{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, NSW, Australia"},{"name":"Centre for Kidney Research, School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW, Australia"},{"name":"Nepean Kidney Research Centre, Department of Renal Medicine, Nepean Hospital, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory M","family":"Peterson","sequence":"additional","affiliation":[{"name":"University of Tasmania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connie","family":"Van","sequence":"additional","affiliation":[{"name":"The University of Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9344-1013","authenticated-orcid":false,"given":"Rahul P","family":"Patel","sequence":"additional","affiliation":[{"name":"University of Tasmania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7648-007X","authenticated-orcid":false,"given":"Kamal","family":"Sud","sequence":"additional","affiliation":[{"name":"The University of Sydney"},{"name":"Westmead Hospital"},{"name":"Peritoneal Dialysis Unit, Regional Dialysis Centre, Blacktown Hospital, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-022-00623-7"},{"key":"e_1_3_3_3_2","unstructured":"Australia & New Zealand Dialysis & Transplant Registry (ANZDATA). ANZDATA 47th Annual Report 2024. Available from: https:\/\/www.anzdata.org.au\/report\/anzdata-47th-annual-report-2024-data-survey-2023\/ (accessed 31 December 2024)."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2016010112"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.16341221"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0896860821996096"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.09.016"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.12321216"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.10.017"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2015.00277"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfx051"},{"key":"e_1_3_3_12_2","unstructured":"Australia & New Zealand Dialysis & Transplant Registry (ANZDATA) (Online). Available from: https:\/\/www.anzdata.org.au\/anzdata\/services\/data-management\/data-forms\/ (accessed 12\/06\/2023)."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-6686.2013.00339.x"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005110-200407000-00005"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2015.00146"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-015-1785-5"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.20063"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.13014"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/089686080902900313"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-036264"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3182330b6e"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2018.0711"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.07.014"},{"key":"e_1_3_3_24_2","unstructured":"ESRD Network #14 Medical Review Board Standards of Care for ESRD Patients in the outpatient peritoneal dialysis setting. 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