Continuous Ambulatory Peritoneal Dialysis: Bridging the Gap Between Evaluation and Practice in Chronic Illness
Authors: SYLVESTRE G. QUEVEDO
Journal: Annals of Internal Medicine (1986)

Editorials1 March 1986Continuous Ambulatory Peritoneal Dialysis: Bridging the Gap Between Evaluation and Practice in Chronic IllnessSYLVESTRE G. QUEVEDO, M.D., JEFFRY H. YOUNG, M.D., BRIAN J. CARRIE, M.D., HALSTED R. HOLMAN, M.D.SYLVESTRE G. QUEVEDO, M.D.Search for more papers by this author, JEFFRY H. YOUNG, M.D.Search for more papers by this author, BRIAN J. CARRIE, M.D.Search for more papers by this author, HALSTED R. HOLMAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-104-3-430 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptContinuous ambulatory peritoneal dialysis, the newest therapy for the treatment of renal failure, has been applied widely. A just-released study by the Office of Technology Assessment (OTA),The Effectiveness and Costs of Continuous Ambulatory Peritoneal Dialysis (CAPD)(1), is both more (in the issues raised) and less (in analytic conclusions) than its title implies. It is not an actual cost-effectiveness analysis of the new therapy compared with hemodialysis. "The data required to make the results of such an analysis meaningful simply do not exist," the report states. Bravo. Cost-effectiveness analysis is useful but does more harm than good when it...References1. STASONBARNES WB. The Effectiveness and Costs of Continuous Ambulatory Peritoneal Dialysis (CAPD). Washington, D.C.: Office of Technology Assessment; 1985. (Health Technology Case Study 35; publication no. OTA-HCS-35). Google Scholar2. DAVIS C. The ESRD program: forging a better future for patients. Contemp Dial Nephrol 1985;6:39-41. Google Scholar3. Medicare Program: End-Stage Renal Disease Program. Fed Reg. 1983;48:(92 May 11):21254-91. MedlineGoogle Scholar4. EGGERS P. Trends in Medicare reimbursement for ESRD: 1974-1979. Health Care Financing Rev. 1984;6:31-8. MedlineGoogle Scholar5. . Using end-stage renal disease facility surveys to monitor end-stage renal disease program trends. JAMA. 1985;254:1776-80. CrossrefMedlineGoogle Scholar6. BUNKERFOWLESSCHAFFARZICK JJR. Evaluation of medical-technology strategies: effects of coverage and reimbursement (part 1). N Engl J Med. 1982;306:620-4. CrossrefMedlineGoogle Scholar7. NOLPHCUTLERSTEINBERGNOVAK KSSJ. Continuous ambulatory peritoneal dialysis in the United States: a three-year study. Kidney Int. 1985;28:198-205. CrossrefMedlineGoogle Scholar8. EVANSMANNINENGARRISON RDL. The quality of life of patients with end-stage renal disease. N Engl J Med. 1985;312:553-9. CrossrefMedlineGoogle Scholar9. CASSILETHLUSKSTROUSE BET. Psychosocial status in chronic illness: a comparative analysis of six diagnostic groups. N Engl J Med. 1984;311:506-11. CrossrefMedlineGoogle Scholar10. KLEINMANEISENBERGGOOD ALB. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978;88:251-8. LinkGoogle Scholar11. PELLEGRINO E. Humanism and the Physician. Knoxville, Tennessee: The University of Tennessee Press; 1979. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: SYLVESTRE G. QUEVEDO, M.D.; JEFFRY H. YOUNG, M.D.; BRIAN J. CARRIE, M.D.; HALSTED R. HOLMAN, M.D.Affiliations: Stanford University School of Medicine Stanford Santa Clara Valley Medical Center San Jose, California PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCAPD and the Elderly Patient 1 March 1986Volume 104, Issue 3Page: 430-432KeywordsPeritoneal dialysisRenal failure ePublished: 1 December 2008 Issue Published: 1 March 1986 PDF downloadLoading ...