With a little help from my friends: Developing an assisted automated peritoneal dialysis program in Western Australia
Background: Nurse-assisted automated peritoneal dialysis (AAPD) offers a model of care that has been successfully used in frail dialysis populations internationally. AAPD offers cost savings over hospitalisation on peritoneal dialysis (PD) or in-centre haemodialysis (HD). Method: A pilot AAPD model...
| Main Authors: | , , , |
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| Format: | Journal Article |
| Published: |
2017
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| Online Access: | http://hdl.handle.net/20.500.11937/66939 |
| _version_ | 1848761432186814464 |
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| author | Fortnum, D. Chakera, Aron Hawkins, N. Vandepeer, G. |
| author_facet | Fortnum, D. Chakera, Aron Hawkins, N. Vandepeer, G. |
| author_sort | Fortnum, D. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Nurse-assisted automated peritoneal dialysis (AAPD) offers a model of care that has been successfully used in frail dialysis populations internationally. AAPD offers cost savings over hospitalisation on peritoneal dialysis (PD) or in-centre haemodialysis (HD). Method: A pilot AAPD model of care was developed in Western Australia (WA). Patient evaluation was measured utilising a perceptions of dialysis survey, clinical events, hospitalisation and peritonitis rates, Charlson Comorbidity Index (CCI), KDQoL-SF 36 and a survey. Staff opinions and perceived competency were measured by an online survey. Economic analysis was undertaken. Results: A successful collaborative model was developed. 40 staff were trained and competency significantly improved during program delivery (p < 0.0001). 15 patients with an average CCI score of 8.7 used the service for 18 periods of care over 18 months (mean 33 days SD 47). Two non-renal cause deaths and two episodes of peritonitis occurred. Patient opinions were extremely positive. Cost savings were estimated at $620,000. Conclusion: In WA, an AAPD pilot program has been successfully developed and delivered. A sustainable model has overcome initial hurdles. Staff have gained new skills and delivered effective care, demonstrated by high patient acceptance. The program was cost-effective compared to staying in hospital or transferring to HD. |
| first_indexed | 2025-11-14T10:31:34Z |
| format | Journal Article |
| id | curtin-20.500.11937-66939 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:31:34Z |
| publishDate | 2017 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-669392018-09-19T00:40:25Z With a little help from my friends: Developing an assisted automated peritoneal dialysis program in Western Australia Fortnum, D. Chakera, Aron Hawkins, N. Vandepeer, G. Background: Nurse-assisted automated peritoneal dialysis (AAPD) offers a model of care that has been successfully used in frail dialysis populations internationally. AAPD offers cost savings over hospitalisation on peritoneal dialysis (PD) or in-centre haemodialysis (HD). Method: A pilot AAPD model of care was developed in Western Australia (WA). Patient evaluation was measured utilising a perceptions of dialysis survey, clinical events, hospitalisation and peritonitis rates, Charlson Comorbidity Index (CCI), KDQoL-SF 36 and a survey. Staff opinions and perceived competency were measured by an online survey. Economic analysis was undertaken. Results: A successful collaborative model was developed. 40 staff were trained and competency significantly improved during program delivery (p < 0.0001). 15 patients with an average CCI score of 8.7 used the service for 18 periods of care over 18 months (mean 33 days SD 47). Two non-renal cause deaths and two episodes of peritonitis occurred. Patient opinions were extremely positive. Cost savings were estimated at $620,000. Conclusion: In WA, an AAPD pilot program has been successfully developed and delivered. A sustainable model has overcome initial hurdles. Staff have gained new skills and delivered effective care, demonstrated by high patient acceptance. The program was cost-effective compared to staying in hospital or transferring to HD. 2017 Journal Article http://hdl.handle.net/20.500.11937/66939 fulltext |
| spellingShingle | Fortnum, D. Chakera, Aron Hawkins, N. Vandepeer, G. With a little help from my friends: Developing an assisted automated peritoneal dialysis program in Western Australia |
| title | With a little help from my friends: Developing an assisted automated peritoneal dialysis program in Western Australia |
| title_full | With a little help from my friends: Developing an assisted automated peritoneal dialysis program in Western Australia |
| title_fullStr | With a little help from my friends: Developing an assisted automated peritoneal dialysis program in Western Australia |
| title_full_unstemmed | With a little help from my friends: Developing an assisted automated peritoneal dialysis program in Western Australia |
| title_short | With a little help from my friends: Developing an assisted automated peritoneal dialysis program in Western Australia |
| title_sort | with a little help from my friends: developing an assisted automated peritoneal dialysis program in western australia |
| url | http://hdl.handle.net/20.500.11937/66939 |