Catheter insertion techniques for improving catheter function and clinical outcomes in peritoneal dialysis patients

Briggs, Victoria; Jacques, Richard; Fotheringham, James; Maheswaran, Ravi; Campbell, Mike; Wilkie, Martin

doi:10.1002/14651858.cd012478.pub2

Cited by 7 publications

(5 citation statements)

References 68 publications

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“…Recently, a review of PD catheter placement techniques for improving catheter function and clinical outcomes was published. 19 The review showed that laparoscopic surgery may reduce the risk of catheter tip migration. On the other hand, the present study showed that the surgical method and adjunctive techniques did not affect catheter patency, and high catheter patency was obtained.…”

Section: Discussionmentioning

confidence: 99%

A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan

Sakurada,

Kojima,

Yamada

et al. 2023

Perit Dial Int

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Background: This multi-institutional, observational study examined whether the outcomes after peritoneal dialysis (PD) catheter placement in Japan meet the audit criteria of the International Society for Peritoneal Dialysis (ISPD) guideline and identified factors affecting technique survival and perioperative complications. Methods: Adult patients who underwent first PD catheter placement for end-stage kidney disease between April 2019 and March 2021 were followed until PD withdrawal, kidney transplantation, transfer to other facilities, death, 1 year after PD start or March 2022, whichever came first. Primary outcomes were time to catheter patency failure and technique failure, and perioperative infectious complications within 30 days of catheter placement. Secondary outcomes were perioperative complications. Appropriate statistical analyses were performed to identify factors associated with the outcomes of interest. Results: Of the total 409 patients, 8 who underwent the embedded catheter technique did not have externalised catheters. Of the 401 remaining patients, catheter patency failure occurred in 25 (6.2%). Technical failure at 12 months after PD catheter placement calculated from cumulative incidence function was 15.3%. On Cox proportional hazards model analysis, serum albumin (hazard ratio (HR) 0.44; 95% confidence interval (CI) 0.27–0.70) and straight type catheter (HR 2.14; 95% CI 1.24–3.69) were the independent risk factors for technique failure. On logistic regression analysis, diabetes mellitus was the only independent risk factor for perioperative infectious complications (odds ratio 2.70, 95% CI 1.30–5.58). The occurrence rate of perioperative complications generally met the audit criteria of the ISPD guidelines. Conclusion: PD catheter placement in Japan was proven to be safe and appropriate.

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Section: Discussionmentioning

confidence: 99%

A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan

Sakurada,

Kojima,

Yamada

et al. 2023

Perit Dial Int

View full text Add to dashboard Cite

show abstract

“…In contrast to the study's conclusions, a recent systematic review by Briggs et al reported low-quality evidence, finding no significant differences in PD catheter dysfunction rates among various insertion techniques in randomized controlled studies. 2 The second concern is the considerable variation in early pericatheter leakage observed in studies of urgent start PD. 3 Factors such as catheter break-in time, insertion technique, initial dwell volumes, treatment modality, and catheter securing strategies are significant sources of variation.…”

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confidence: 99%

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confidence: 99%

Prioritizing Skills for Optimal Peritoneal Dialysis Care: A Focus Beyond Specialty

Sahutoglu

2024

JASN

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“…In addition, we would emphasize that our study does not examine the association between insertion techniques and complication rates after PD catheter placement, which is the focus of the systematic review by Briggs et al highlighted by Dr. Sahutoglu. 3 Instead, our study accounts for the insertion technique in all models when examining differences in complication rates by specialty. Although we agree that having better insertion techniques to prevent leakage, even with early use of PD catheters, would be helpful overall, our primary analysis excluded catheters that were used urgently or in an acute fashion (although these procedures were included in sensitivity analyses).…”

mentioning

confidence: 99%

Authors' Reply: Prioritizing Skills for Optimal Peritoneal Dialysis Care: A Focus Beyond Specialty

Ku,

McCulloch,

Copeland

et al. 2024

JASN

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Catheter insertion techniques for improving catheter function and clinical outcomes in peritoneal dialysis patients

Cited by 7 publications

References 68 publications

A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan

A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan

Prioritizing Skills for Optimal Peritoneal Dialysis Care: A Focus Beyond Specialty

Authors' Reply: Prioritizing Skills for Optimal Peritoneal Dialysis Care: A Focus Beyond Specialty

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