The use of Peritoneal Dialysis: Is it Still Marginal? Where we Come from, who we are, and where we are Going

Abstract

Despite the recent major technological advances the prevalence of peritoneal dialysis (PD) has remained unchanged over the last 23 years (10%-11%). Public institutions (Region, ASL, University) and nephrologists share the responsibility for the underuse of PD, since both have underestimated that, at a time of severe economic crisis, the health care system can offer efficient and qualified health benefits even at a lower cost than that of traditional procedures.