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Continuous ambulatory peritoneal dialysis: perspectives on patient selection in low- to middle-income countries

Overview of attention for article published in International Journal of Nephrology and Renovascular Disease, January 2017
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1 tweeter

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35 Mendeley
Title
Continuous ambulatory peritoneal dialysis: perspectives on patient selection in low- to middle-income countries
Published in
International Journal of Nephrology and Renovascular Disease, January 2017
DOI 10.2147/ijnrd.s104208
Pubmed ID
Authors

Nicola Wearne, Kajiru Kilonzo, Emmanuel Effa, Bianca Davidson, Peter Nourse, Udeme Ekrikpo, Ikechi G Okpechi

Abstract

Chronic kidney disease is a major public health problem that continues to show an unrelenting global increase in prevalence. The prevalence of chronic kidney disease has been predicted to grow the fastest in low- to middle-income countries (LMICs). There is evidence that people living in LMICs have the highest need for renal replacement therapy (RRT) despite the lowest access to various modalities of treatment. As continuous ambulatory peritoneal dialysis (CAPD) does not require advanced technologies, much infrastructure, or need for dialysis staff support, it should be an ideal form of RRT in LMICs, particularly for those living in remote areas. However, CAPD is scarcely available in many LMICs, and even where available, there are several hurdles to be confronted regarding patient selection for this modality. High cost of CAPD due to unavailability of fluids, low patient education and motivation, low remuneration for nephrologists, lack of expertise/experience for catheter insertion and management of complications, presence of associated comorbid diseases, and various socio-demographic factors contribute significantly toward reduced patient selection for CAPD. Cost of CAPD fluids seems to be a major constraint given that many countries do not have the capacity to manufacture fluids but instead rely heavily on fluids imported from developed countries. There is need to invest in fluid manufacturing (either nationally or regionally) in LMICs to improve uptake of patients treated with CAPD. Workforce training and retraining will be necessary to ensure that there is coordination of CAPD programs and increase the use of protocols designed to improve CAPD outcomes such as insertion of catheters, treatment of peritonitis, and treatment of complications associated with CAPD. Training of nephrology workforce in CAPD will increase workforce experience and make CAPD a more acceptable RRT modality with improved outcomes.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 35 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 35 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 8 23%
Student > Master 6 17%
Student > Bachelor 6 17%
Researcher 4 11%
Student > Ph. D. Student 4 11%
Other 7 20%
Readers by discipline Count As %
Medicine and Dentistry 15 43%
Nursing and Health Professions 8 23%
Unspecified 4 11%
Social Sciences 3 9%
Immunology and Microbiology 1 3%
Other 4 11%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 July 2017.
All research outputs
#9,138,738
of 11,414,199 outputs
Outputs from International Journal of Nephrology and Renovascular Disease
#83
of 129 outputs
Outputs of similar age
#189,451
of 260,569 outputs
Outputs of similar age from International Journal of Nephrology and Renovascular Disease
#6
of 6 outputs
Altmetric has tracked 11,414,199 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 129 research outputs from this source. They receive a mean Attention Score of 1.7. This one is in the 24th percentile – i.e., 24% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 260,569 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 16th percentile – i.e., 16% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 6 others from the same source and published within six weeks on either side of this one.