A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan
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.
| Errataetall: |
ErratumIn: Perit Dial Int. 2023 Dec 10;:8968608231220747. - PMID 38073254 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:43 |
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| Enthalten in: |
Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis - 43(2023), 6 vom: 09. Nov., Seite 457-466 |
| Sprache: |
Englisch |
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| Links: |
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| Themen: |
Catheter placement |
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| Anmerkungen: |
Date Completed 10.11.2023 Date Revised 11.12.2023 published: Print-Electronic ErratumIn: Perit Dial Int. 2023 Dec 10;:8968608231220747. - PMID 38073254 Citation Status MEDLINE |
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| doi: |
10.1177/08968608231193240 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Sakurada, Tsutomu |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan |
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| 500 | |a Date Revised 11.12.2023 | ||
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| 500 | |a ErratumIn: Perit Dial Int. 2023 Dec 10;:8968608231220747. - PMID 38073254 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a CONCLUSION: PD catheter placement in Japan was proven to be safe and appropriate | ||
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Catheter placement | |
| 650 | 4 | |a perioperative complication | |
| 650 | 4 | |a peritoneal dialysis | |
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