Evaluation of need for peritoneal dialysis training in Morocco

Abstract

Peritoneal dialysis (PD) is an effective home-based renal replacement therapy, comparable in efficacy to hemodialysis (HD). Despite its advantages, the prevalence of PD in Morocco remains below 1% of dialysis patients, primarily due to limited training and awareness. This cross-sectional study aimed to evaluate the training needs related to PD among Moroccan nephrologists and nurses and to identify key topics relevant to the local context. An online survey was conducted between July and August 2022, collecting 125 responses—primarily from females and over 78% from nephrologists. Findings revealed that only 23% of respondents currently practice PD, predominantly those over 40 years old, with 65% having received initial PD training. While 40% perceived PD as less efficient than HD, over 78% acknowledged that PD offers a better quality of life. An overwhelming 95% expressed a need for further PD training. The most common challenges identified were peritonitis and catheter management, with catheter insertion emerging as the most prioritized practical skill. Statistical analysis indicated that while theoretical topics such as peritonitis and catheter-related complications are essential for nephrologists without PD practice, practical training in catheter insertion is crucial across all participants. Enhancing PD training is highly needed in Morocco, especially for young nephrologists and have to focus on catheter insertion with an objective to increase PD prevalence up to 10%.