{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:05:22Z","timestamp":1790395522827,"version":"4.1.0"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","funder":[{"name":"International Society of Peritoneal Dialysis: North American Chapter"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Kidney360"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Home dialysis therapies, such as peritoneal dialysis (PD), offer flexibility and improved well-being, particularly for older individuals. However, a substantial proportion require assistance with personal care and health care\u2013related tasks. We hypothesized that patients and families would require less PD assistance as they became more familiar with PD-related tasks. The study objective was to assess whether the nature of, and need for, PD assistance decreased over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a multicentered, prospective, observational study design, patients aged \u226550 years were recruited from those starting PD. Patients underwent formal evaluation using validated components of a Comprehensive Geriatric Assessment at baseline, and they were followed monthly and administered a questionnaire about the need for assistance with PD-related tasks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 111 patients (age 69\u00b110 years, 68% men, and 56% diabetic) were followed for a total of 609 patient-months. Of those who needed help, 40% had help from a family member, and 33% were helped by nurses. Both the quantity and nature of help received by patients remained generally stable throughout follow-up and did not vary according to age, frailty, functional dependence, or cognitive impairment (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.93). The proportion of patients needing help varied widely across the 13 different tasks but appeared relatively stable across time. The paid-unpaid caregiver ratio for the different tasks did not change over time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Older patients initiating PD in the outpatient setting have a high need for assistance with PD-related tasks, which seems to persist over the initial 6-month period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.34067\/kid.0006622020","type":"journal-article","created":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T17:06:04Z","timestamp":1610471164000},"page":"469-476","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Longitudinal Changes in the Use of PD Assistance for Patients Maintained on Peritoneal Dialysis"],"prefix":"10.34067","volume":"2","author":[{"given":"Jorge I.","family":"Fonseca-Correa","sequence":"first","affiliation":[{"name":"Division of Nephrology, University Health Network, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janine F.","family":"Farragher","sequence":"additional","affiliation":[{"name":"Division of Nephrology, University Health Network, Toronto, Ontario, Canada"},{"name":"Department of Community Health Sciences, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Tomlinson","sequence":"additional","affiliation":[{"name":"Department of Medicine, University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada"},{"name":"Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Oliver","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arsh","family":"Jain","sequence":"additional","affiliation":[{"name":"Division of Nephrology, London Health Sciences Centre and Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Flanagan","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Koyle","sequence":"additional","affiliation":[{"name":"Division of Nephrology, London Health Sciences Centre and Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6780-1123","authenticated-orcid":false,"given":"Sarbjit V.","family":"Jassal","sequence":"additional","affiliation":[{"name":"Division of Nephrology, University Health Network, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,3,25]]},"reference":[{"key":"B1-20250825","doi-asserted-by":"crossref","first-page":"3755","DOI":"10.1093\/ndt\/gfq212","article-title":"Broadening Options for Long-term Dialysis in the Elderly (BOLDE): Differences in quality of life on peritoneal dialysis compared to haemodialysis for older patients","volume":"25","author":"Brown","year":"2010","journal-title":"Nephrol Dial Transplant"},{"key":"B2-20250825","doi-asserted-by":"crossref","first-page":"423","DOI":"10.2215\/CJN.01050115","article-title":"Quality of life and physical function in older patients on dialysis: A comparison of assisted peritoneal dialysis with hemodialysis","volume":"11","author":"Iyasere","year":"2016","journal-title":"Clin J Am Soc Nephrol"},{"key":"B3-20250825","doi-asserted-by":"crossref","first-page":"663","DOI":"10.3747\/pdi.2014.00344","article-title":"Assisted peritoneal dialysis for older people with end-stage renal disease: The French and Danish experience","volume":"35","author":"B\u00e9chade","year":"2015","journal-title":"Perit Dial Int"},{"key":"B4-20250825","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.kint.2016.08.026","article-title":"Peritoneal or hemodialysis for the frail elderly patient, the choice of 2 evils?","volume":"91","author":"Brown","year":"2017","journal-title":"Kidney Int"},{"key":"B5-20250825","doi-asserted-by":"crossref","first-page":"503","DOI":"10.3747\/pdi.2016.00214","article-title":"Worldwide experiences with assisted peritoneal dialysis","volume":"37","author":"Giuliani","year":"2017","journal-title":"Perit Dial 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Nephrol"},{"key":"B9-20250825","doi-asserted-by":"crossref","first-page":"252","DOI":"10.3747\/pdi.2012.00031","article-title":"A Brazilian experience in assisted automated peritoneal dialysis: A reliable and effective home care approach","volume":"33","author":"Franco","year":"2013","journal-title":"Perit Dial Int"},{"key":"B10-20250825","doi-asserted-by":"crossref","first-page":"94","DOI":"10.3747\/pdi.2010.00213","article-title":"Experiences with assisted peritoneal dialysis in China","volume":"32","author":"Xu","year":"2012","journal-title":"Perit Dial Int"},{"key":"B11-20250825","doi-asserted-by":"crossref","first-page":"375","DOI":"10.3747\/pdi.2018.00189","article-title":"PD assistance and relationship to co-existing geriatric syndromes in incident peritoneal dialysis therapy patients","volume":"39","author":"Farragher","year":"2019","journal-title":"Perit Dial Int"},{"key":"B12-20250825","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.2215\/CJN.10130915","article-title":"Hospitalization rates for patients on assisted peritoneal dialysis compared with in-center hemodialysis","volume":"11","author":"Oliver","year":"2016","journal-title":"Clin J Am Soc Nephrol"},{"key":"B14-20250825","doi-asserted-by":"crossref","first-page":"566","DOI":"10.2215\/CJN.11800919","article-title":"Making assisted peritoneal dialysis a reality in the United States: A Canadian and American viewpoint","volume":"15","author":"Oliver","year":"2020","journal-title":"Clin J Am Soc Nephrol"},{"key":"B15-20250825","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3747\/pdi.2013.00293","article-title":"Functional disability in older adults maintained on peritoneal dialysis therapy","volume":"36","author":"Ulutas","year":"2016","journal-title":"Perit Dial Int"},{"key":"B16-20250825","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1056\/NEJMc0905289","article-title":"Loss of independence in patients starting dialysis at 80 years of age or older","volume":"361","author":"Jassal","year":"2009","journal-title":"N Engl J Med"},{"key":"B17-20250825","doi-asserted-by":"crossref","first-page":"307","DOI":"10.3747\/pdi.2016.00201","article-title":"Evaluation of a 12-month pilot of long-term and temporary assisted peritoneal dialysis","volume":"37","author":"Bevilacqua","year":"2017","journal-title":"Perit Dial Int"}],"container-title":["Kidney360"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.34067\/KID.0006622020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T20:02:28Z","timestamp":1786478548000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.34067\/KID.0006622020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.34067\/kid.0006622020","relation":{},"ISSN":["2641-7650"],"issn-type":[{"value":"2641-7650","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]},"assertion":[{"value":"2020-11-06","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}