Evidence Update: Examining Options for Dialysis Services in Rural and Remote Newfoundland & Labrador

Russell, Elizabeth A. (2013) Evidence Update: Examining Options for Dialysis Services in Rural and Remote Newfoundland & Labrador. Project Report. Newfoundland and Labrador Centre for Applied Health Research (NLCAHR), St. John's, Newfoundland.

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Abstract

The Contextualized Health Research Synthesis Program produced a 2008 'Evidence in Context Report' on rural dialysis that posed the following research question: "In meeting the needs for dialysis services in rural and remote populations, what are the differences among the available treatment options with regards to efficacy/effectiveness, cost, acceptability, and feasibility in Newfoundland and Labrador?" The report found no persuasive evidence to suggest that any of the available modalities of dialysis service, including peritoneal dialysis and hemodialysis, is either more or less appropriate for either clinical or economic reasons in rural or remote populations in this province. Both types of dialysis are, in fact, complementary forms of renal replacement therapy, and home-based therapies were recommended as the primary option for rural and remote service provision. In late 2012, we conducted a review to confirm that the findings of our 2008 study remain both current and relevant.

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