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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Peritoneal dialysis is a clinically effective and patient-friendly modality for end-stage kidney disease, yet its use remains disproportionately low in many developing countries. Barriers to adoption extend beyond individual clinician factors and include challenges at institutional, patient, and policy levels. This study aimed to explore these multidimensional barriers among practicing nephrologists.
A nationwide cross-sectional survey was conducted among nephrologists using a structured online questionnaire. The survey assessed perceived barriers to peritoneal dialysis across four domains including physician preparedness, institutional infrastructure, patient-related limitations, and health system or policy constraints. Data were analyzed descriptively and presented as frequencies and percentages.
A total of 126 nephrologists participated. Physician-related barriers included lack of formal training in 80.6 %, limited clinical exposure in 59.7 %, and low confidence in managing complications in 22.4 %. About 70.1 % believed that personal bias plays a role in limiting the recommendation of peritoneal dialysis. Institutional barriers were common with 86.8 % reporting the absence of a dedicated peritoneal dialysis unit, 79.4 % citing lack of trained nursing staff and catheter placement expertise, and 73.5 % highlighting administrative gaps. Only 20.6 % stated that their institution actively promotes peritoneal dialysis. Patient-related challenges included poor socioeconomic status in 76.5 %, low awareness and education in 75 %, preference for in-center hemodialysis in 60.3 %, and inadequate caregiver support in 48.5 %. Policy-level constraints were reported by 88.2 % due to lack of government support, 69.1 % due to limited national policy inclusion, and 58.8 % due to higher out-of-pocket expenses for patients.
Peritoneal dialysis implementation is limited by intersecting barriers across physician, institutional, patient, and policy levels. Comprehensive strategies including institutional investment, structured training, patient education, and national policy reform are essential for advancing equitable adoption of peritoneal dialysis.
This abstract was also submitted for the 11TH APCM-ISPD IN CONJUNCTION WITH 39TH MSN ANNUAL CONGRESS 2025.Permission has been formally granted from DR. LILY MUSHAHAR(lilymushahar@gmail.com) Congress and Scientific Chair APCM- ISPD 2025
