[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-441718-105":59,"doc-detail-441718-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","assisted-peritoneal-dialysis-a-feasibility-and-quality-improvement-project","Assisted Peritoneal Dialysis - A Feasibility and Quality Improvement Project","","Assisted peritoneal dialysis (PD) at home can be difficult to manage independently, even though PD often offers better quality of life than in-center hemodialysis. From May 2021 to October 2024, a pilot assisted PD program at two home dialysis clinics supported six patients requiring permanent or temporary help. Assistant coverage ranged from 1 day to 5 months, with reassessment at monthly visits. Patients transitioned either to PD independence or to in-center hemodialysis, while key challenges included staffing for irregular hours and maintaining program continuity.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/assisted-peritoneal-dialysis-a-feasibility-and-quality-improvement-project/441718/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/assisted-peritoneal-dialysis-a-feasibility-and-quality-improvement-project/441718.png","ImageObject",300,407,{"name":92,"@type":93},"วิน","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What problem does assisted peritoneal dialysis address?","Question",{"text":112,"@type":113},"Home PD management can be challenging for patients when they need help with tasks or when care partners are unavailable. Assisted PD aims to reduce discontinuation and support safe continuation.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the pilot assisted PD program implemented?",{"text":117,"@type":113},"From May 2021 to October 2024, two home dialysis clinics offered assisted PD. Per diem assistants received the same PD training and assessment as patients and care partners, and teams scheduled assistance including weekend and holiday coverage as needed.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the outcomes for patients who received assisted PD?",{"text":121,"@type":113},"Over 3 years, six patients received assisted PD with assistance lasting from 1 day to 5 months. Three transitioned to PD independence, while three transferred to in-center hemodialysis after the period of assistance or due to clinical changes.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},441718,1790990371,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},2336475104736,"https://ap-avatar.wpscdn.com/avatar/22000c4c5e0e5b17e70?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786591360781797222","Case Report  \nAssisted Peritoneal Dialysis: A Feasibility and Quality Improvement Project  \nHyunji Kim, Mary Nguyen, Page Salenger, Amanda Tran, Shelly Seidel, Daniel E. Weiner, Klemens B. Meyer, and Caroline M. Hsu  \nDespite often offering a better quality of life than in-center hemodialysis, peritoneal dialysis (PD) at home can be challenging for many. From May 2021 to October 2024, we offered PD assistance at 2 home dialysis clinics in Dialysis Clinic, Inc, a mid-size national dialysis provider. Eligible patients could be incident to or established on PD, with anticipated need for either permanent or temporary assistance. Over 3 years, 6 patients received assisted PD. Three established PD patients needed assistance when their care partners were unavailable. Three other patients required assistance to initiate PD. Assistance duration ranged from 1 day to 5 months. Three patients ultimately transitioned to PD independence, and 3 transferred to in-center hemodialysis. Our greatest challenge was hiring assistants for unpredictable work with odd hours, and we eventually hired 2 postbaccalaureate students preparing for medical careers. Our successes, minimal missed treatments, and a high rate of PD continuation are a testament to their dedication. Assisted PD programs would benefit from economies of scale by being embedded in the health care system. As interest in assisted PD grows, we advocate for sharing of programs’successes and challenges so that we may together learn how to enable assisted PD in the US.  \nComplete author and article information provided before references.  \nCorrespondence to  \nC.M. Hsu (caroline.hsu1@ [tuftsmedicine.org](tuftsmedicine.org)) Kidney Med. 8(1):101173. Published online November  \n4, 2025.  \ndoi: 10.1016/j. xkme.2025.101173  \n© 2025 The Authors. Published by Elsevier Inc. on behalf of the National Kidney Foundation, Inc. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/)).  \nHome peritoneal dialysis (PD) offers many patients  \nbetter quality of life than in-center hemodialysis (ICHD), 1-4 and survival is comparable.5 , 6 However, managing PD independently is challenging. Assisted PD may address challenges and reduce PD discontinuation,7-10 and it is gathering interest in the United States. 11 We describe here a pilot assisted PD program.  \nFrom May 2021to October 2024, we offered assisted PD at 2 Dialysis Clinic, Inc facilities. As part of the pilot design of the project, facilities were allowed to assess how much help their local patient population required and hired accordingly. The project was supported by a grant from the Aging in America Foundation. Ultimately, facilities hired per diem assistants, who were paid on an hourly basis. Assistants hired for this program underwent the same PD training and assessment that patients and their care partners undergo. Incident and prevalent patients who might benefit from assisted PD were identified by their home dialysis team (the nurses, physician, and social worker) . The team then worked with the assistants to decide the specific tasks that required assistance and the schedule of assistance, including weekend and holiday coverage when needed. Anticipated need for assistance could be permanent or temporary; patients were reassessed at monthly visits for whether assistance could be discontinued, sooner if appropriate. The Tufts Health Sciences institutional review board determined this quality improvement project was not human subjects research.  \nCases  \nOver 3 years, 6 patients received assisted PD (Table 1) . Patients (or surviving next of kin) consented to share their stories.  \nCase 1, a woman in her 60s, lived more than 100 miles from the nearest dialysis facility. Mild memory and physical limitations suggested that she might be unable to manage PD independently. The patient and her assistant, a nearby niece, underwent PD training; t","cbCaiaPwFcOyJXdQ","https://ap.wps.com/l/cbCaiaPwFcOyJXdQ","pdf",235834,"English","# Assisted Peritoneal Dialysis: A Feasibility and Quality Improvement Project\n## Program design and implementation\n## Cases\n## Table 1: Patients Who Received Assisted Peritoneal Dialysis","[{\"question\":\"What problem does assisted peritoneal dialysis address?\",\"answer\":\"Home PD management can be challenging for patients when they need help with tasks or when care partners are unavailable. Assisted PD aims to reduce discontinuation and support safe continuation.\"},{\"question\":\"How was the pilot assisted PD program implemented?\",\"answer\":\"From May 2021 to October 2024, two home dialysis clinics offered assisted PD. Per diem assistants received the same PD training and assessment as patients and care partners, and teams scheduled assistance including weekend and holiday coverage as needed.\"},{\"question\":\"What were the outcomes for patients who received assisted PD?\",\"answer\":\"Over 3 years, six patients received assisted PD with assistance lasting from 1 day to 5 months. Three transitioned to PD independence, while three transferred to in-center hemodialysis after the period of assistance or due to clinical changes.\"}]","Assisted Peritoneal Dialysis - A Feasibility and Quality Improvement Project | PDF",1790697171]