2026 ISPD Position Statement on tracking and reporting loss from PD therapy
Peritoneal dialysis (PD) is being promoted worldwide, but nearly half of all patients who start PD will no longer be on therapy at two years, representing an important barrier to maximizing the safe and effective use of the therapy. Loss most commonly occurs due to HD transfer, death, or the receipt of a kidney transplant, but can also occur because patients recover kidney function, transfer to another dialysis program, or are lost to follow-up. Historically, the term "technique failure" has been used to describe loss from PD, but there has been no consistent definition, and as a consequence, it has been unclear whether the observed variability in the reported risk is related to differences in patient characteristics, practice patterns, or simply differences in the way it was defined, measured, analyzed, or reported. The International Society for Peritoneal Dialysis (ISPD) convened a working group to provide recommendations around key issues related to measuring time on PD therapy. These included standardizing definitions for causes of loss, as well as their measurement, analysis, and reporting. Key performance indicators were proposed for the purpose of benchmarking and to facilitate quality improvement and research. The target audience of this document includes physicians and other healthcare providers, dialysis programs, researchers, and national registries.
Authors
- Mark Lambie (ORCID: https://orcid.org/0000-0002-6285-5368)
- Ali K. Abu‐Alfa (ORCID: https://orcid.org/0000-0001-8122-0221)
- Mignon McCulloch (ORCID: https://orcid.org/0000-0003-2876-4785)
- Rajnish Mehrotra (ORCID: https://orcid.org/0000-0003-2833-067X)
- David Wayne Johnson (ORCID: https://orcid.org/0000-0001-5491-3460)
- Olof Heimbürger (ORCID: https://orcid.org/0000-0003-0901-4145)
- Angela Yee‐Moon Wang (ORCID: https://orcid.org/0000-0003-2508-7117)
- Robert R. Quinn (ORCID: https://orcid.org/0000-0001-5672-9368)
- Arpana Iyengar (ORCID: https://orcid.org/0000-0001-7008-0788)
- Annabel Boyer (ORCID: https://orcid.org/0000-0002-6050-9648)
- Annie‐Claire Nadeau‐Fredette (ORCID: https://orcid.org/0000-0002-7755-1404)
- Danielle E. Fox (ORCID: https://orcid.org/0000-0001-5343-4951)
- Patricia Gooden
- Simon Davies (ORCID: https://orcid.org/0000-0001-5127-4755)
- Thyago Proença de Moraes
- Jeffrey Perl
- Nancy Verdin
Institutions
- St. Michael's Hospital (CA)
- Karolinska University Hospital (SE)
- University of Cape Town (ZA)
- National University of Singapore (SG)
- University of Calgary (CA)
- Royal Free London NHS Foundation Trust (GB)
- Pontifícia Universidade Católica do Paraná (BR)
- University of Washington (US)
- The Royal Free Hospital (GB)
- Karolinska Institutet (SE)
- Yale University (US)
- Kidney Care UK (GB)
- Centre Hospitalier Universitaire de Caen Normandie (FR)
- St. John's National Academy of Health Sciences (IN)
- University College London (GB)
- Keele University (GB)
- Université de Montréal (CA)
- American University of Beirut (LB)
- Université de Caen Normandie (FR)
Publication Details
- Journal
- Peritoneal Dialysis International
- Published
- 2026-06-17
- DOI
- https://doi.org/10.1177/08968608261461639
- Primary Topic
- Dialysis and Renal Disease Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00