When Geography Turned Dialysis Modality Into a Constrained Choice

Home dialysis is often presented as a solution to travel, but treatment choice depends on what options are genuinely feasible where a person lives. The findings illustrated that place can influence whether peritoneal dialysis or facility-based haemodialysis is realistically available, not merely which option a patient prefers in the abstract. Treatment choice should be interpreted as a system-constrained decision shaped by local services, housing, support and distance.