Suma Prakash|Adam T. Perzynski|Peter C. Austin|Congjun Wu|Mary Ellen Lawless|J. Michael Paterson|Rob Quinn|Ashwini R. Sehgal|Matthew J. Oliver
Neighborhood Socioeconomic Status and Barriers to Peritoneal Dialysis
MetroHealth|MetroHealth Medical Center|Case Western Reserve University|MetroHealth|MetroHealth Medical Center|Case Western Reserve University|Institute for Clinical Evaluative Sciences|University of Toronto|Institute for Clinical Evaluative Sciences|MetroHealth|MetroHealth Medical Center|Case Western Reserve University|Institute for Clinical Evaluative Sciences|University of Calgary|MetroHealth|MetroHealth Medical Center|Case Western Reserve University|Sunnybrook Health Science Centre|Health Sciences Centre|University of Toronto
objective study evaluate association neighborhood socioeconomic status barriers peritoneal dialysis eligibility choicethis study mixed methods parallel design study using quantitative qualitative data prospective clinical database esrd patients eligibility choice cohorts assembled consecutive incident chronic dialysis patients entering one five renal programs province ontario canada january 1 2004 december 31 2010 socioeconomic status measured median household income percentage residents least high school education using statistics canada dissemination arealevel data multivariable models described relationship socioeconomic status likelihood peritoneal dialysis eligibility choice barriers peritoneal dialysis eligibility choice classified qualitative categories using thematic constant comparative approachthe peritoneal dialysis eligibility choice cohorts 1314 857 patients respectively 65 patients deemed eligible peritoneal dialysis 46 eligible patients chose peritoneal dialysis socioeconomic status significant predictor peritoneal dialysis eligibility choice study qualitative analyses identified 16 barriers peritoneal dialysis choice patients lower versus higherincome statistics canada dissemination areas cited built environment space barriers peritoneal dialysis 46 versus 27 family social support barriers 83 versus 35 frequentlyperitoneal dialysis eligibility choice associated socioeconomic status however socioeconomic status may influence specific barriers peritoneal dialysis choice additional studies determine effect targeting interventions specific barriers peritoneal dialysis choice low socioeconomic status patients peritoneal dialysis use needed