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. 2019 Sep 9;179(11):1537–1542. doi: 10.1001/jamainternmed.2019.3155

Figure 1. Temporal Trends in Incident Cases of Peritoneal Dialysis (PD) Within Kaiser Permanente Northern California (KPNC) and Nationally.

Figure 1.

National data are obtained from the US Renal Data System (USRDS) from 2008 to 2016. P value comparing KPNC data between years is calculated using Cochrane-Armitage tests for trend.

aPD education programs developed and implemented for nephrologists, renal nurses, and patients and/or families.

bMost successful PD programs share best practices across nephrology leadership and medical center teams.

cUrgent-start PD programs launched; surgeons start attending Kaiser Permanente PD University.

dMedical group and health plan leadership visit each medical center to evaluate urgent-start PD program. Education is provided to renal case managers.

eExpanded PD training for surgeons; interventional radiologists attend Kaiser Permanente PD University.

fUpdated regional and medical center–level quality reporting metrics.

g2014-2017 National shortage of PD solution.