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. 2024 Mar 11;14(3):e082184. doi: 10.1136/bmjopen-2023-082184

Figure 1.

Figure 1

Thematic schema of nephrologists’ perspectives on technique survival in peritoneal dialysis (PD). Technique survival in PD may depend on patient clinical stability (peritoneal membrane function and residual kidney function), practical and psychological support available for them, patient education to prevent infection and nephrologists’ abilities to optimise patients’ longevity of PD. Developing effective communication by harnessing a multidisciplinary approach may also improve technique survival in PD, as it can guide patients’ expectations and adapt PD regimens based on patients’ priorities. Some patients are reluctant to change to haemodialysis, which might be caused by fear of losing independence and negative perceptions against haemodialysis. Smooth transition off PD might be achieved when clinicians were able to establish rapport with patients and manage patients’ expectations regarding treatment longevity.