SUN-194 COMMUNITY-BASED DIALYSIS IN?SASKATCHEWAN FIRST NATIONS: A?GRASSROOTS APPROACH TO GAINING INSIGHT AND PERSPECTIVE FROM FIRST NATIONS PATIENTS WITH CHRONIC KIDNEY DISEASE

摘要

Introduction: Renal replacement options or dialysis can be delivered inthe home setting or hospital setting. Home dialysis offers a number ofbenefits over hospital-delivered dialysis. These advantages includeimproved quality of life, less travel, and fewer dietary restrictions.Despite the benefits home based dialysis therapies are significantlyunderutilized by First Nations with only 16.2% uptake versus 25.7%uptake in Non-First Nations people in Saskatchewan(p ? 0.003). It isimportant to recognize that First Nations have a greater burden of endstage renal disease including: higher prevalence, younger age at diag-nosis, increased severity of disease, mortality at an earlier age, andincreased travel distance to access kidney services. The goal of thisstudy is to identify the existing barriers to home peritoneal dialysis andprovide insight for future programs in Saskatchewan First Nationscommunities in a culturally meaningful framework.