Peritoneal dialysis catheter removal at the time or after kidney transplantation: a systematic review and meta-analysis

Zawistowski, Michał; Nowaczyk, Joanna; Domagała, Piotr

doi:10.1007/s00423-022-02637-y

Cited by 3 publications

(1 citation statement)

References 47 publications

(92 reference statements)

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“…Fourth, malnutrition can lead to electrolyte imbalances, a common issue in PD patients, potentially causing abnormalities in heart, nerve, and muscle functions and increasing the risk of mortality. [ 27 , 28 ] In addition, malnutrition may increase the risk of decreased bone density and fractures. In PD patients, metabolic issues related to bones could be severe complications associated with an increased mortality rate.…”

Section: Discussionmentioning

confidence: 99%

Association between the geriatric nutritional risk index and clinical outcomes among peritoneal dialysis patients: A meta-analysis

Wang,

Liang,

Jiang

2024

Medicine

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Background: To identify the relationship between the geriatric nutritional risk index (GNRI) and clinical outcomes in patients receiving peritoneal dialysis (PD). Methods: The PubMed, EBASE, Web of Science and CNKI databases were searched for available studies up to December 25, 2023. The primary outcome was all-cause mortality, and the secondary outcomes included the incidence of PD dropout, major adverse cardiac and cerebrovascular events (MACCEs), technique failure and peritonitis. Hazard ratios (HRs) and 95% confidence intervals (CIs) were combined to evaluate the predictive value of the GNRI for the occurrence of the above endpoints. Results: Ten cohort studies with 3897 patients were included. The pooled results demonstrated that a lower GNRI was significantly associated with a greater incidence of all-cause mortality (HR = 0.71, 95% CI: 0.55–0.91; P = .007). In addition, a decreased GNRI predicted the occurrence of dropout from PD (HR = 0.971, 95% CI: 0.945–0.998, P = .034) and MACCE (HR = 0.95, 95% CI: 0.92–0.98, P = .001). However, no significant associations of the GNRI with technique failure (P = .167) or peritonitis (P = .96) were observed. Conclusion: A low GNRI is significantly associated with poor clinical outcomes and might serve as a novel and valuable prognostic indicator among PD patients.

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Section: Discussionmentioning

confidence: 99%

Association between the geriatric nutritional risk index and clinical outcomes among peritoneal dialysis patients: A meta-analysis

Wang,

Liang,

Jiang

2024

Medicine

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Dialysis after kidney transplant failure: how to deal with this daunting task?

Tanriover,

Copur,

Basile

et al. 2023

J Nephrol

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A rare case of refractory ascites due to aortic regurgitation delaying peritoneal dialysis catheter removal after renal transplantation

Antoun,

Jacobs,

Brayer

et al. 2024

Bull Dial Domic

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Introduction Removing the peritoneal dialysis (PD) catheter after transplantation is necessary in order to improve quality of life after transplantation. However, there is no consensus on the best timeframe of PD-catheter removal in transplanted patients. Early removal can lead to the absence of dialysis access in case of graft failure. However, late removal is associated with significant infectious risk given the immunosuppression. Herein, we describe an exceptional case of refractory ascites secondary to aortic regurgitation in a cirrhotic patient, delaying the removal of his PD catheter. Case reportWe describe the case of a 49-year old patient, with Child B cirrhosis and end-stage kidney disease on chronic peritoneal dialysis who benefited from kidney transplantation. The scheduled PD catheter flushes were marked by the drainage of ascitic fluid, leading to the postponement of the PD catheter removal. The ascites, thought to be secondary to his long-known cirrhosis, was refractory to optimal drug treatment and the PD catheter was used to remove ascites periodically. As a transjugular intrahepatic portosystemic shunt was planned, a severe aortic regurgitation was diagnosed. After aortic valve replacement, the ascites completely disappeared, and the PD catheter could be removed.DiscussionHeart failure represents only 3% of all refractory ascites. Furthermore, left-side heart failure causing ascites but without signs of right-side heart failure has only been described once in the medical literature. Patients with ascites and kidney failure on PD can safely be managed through the PD catheter instead of recurrent paracentesis. However, in transplanted patients especially, keeping the catheter in place brings significant infectious risk. ConclusionWe described an unusual case of refractory ascites after renal transplantation, due to aortic valve regurgitation. This case highlights the importance of weighing the pros and cons of early PD catheter removal, as PD catheter might be useful as a means of removing ascites.

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Peritoneal dialysis catheter removal at the time or after kidney transplantation: a systematic review and meta-analysis

Cited by 3 publications

References 47 publications

Association between the geriatric nutritional risk index and clinical outcomes among peritoneal dialysis patients: A meta-analysis

Association between the geriatric nutritional risk index and clinical outcomes among peritoneal dialysis patients: A meta-analysis

Dialysis after kidney transplant failure: how to deal with this daunting task?

A rare case of refractory ascites due to aortic regurgitation delaying peritoneal dialysis catheter removal after renal transplantation

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