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Comparative Study on the Outcomes of Elective-Start versus Urgent-Start Peritoneal Dialysis Catheter Placement
The aim of this study is to compare the outcomes of the elective-start versus urgent-start use of peritoneal dialysis (PD) catheters using percutaneous radiologic or laparoscopic techniques. Patients having their first peritoneal dialysis catheter placed and used between January 2005 and January 201...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197002/ https://www.ncbi.nlm.nih.gov/pubmed/32373364 http://dx.doi.org/10.1155/2020/3751827 |
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author | Abdel Aal, Ahmed Kamel Mahmoud, Khalid Moustafa, Amr Soliman Aboueldahab, Noha Alaaeldin Souid, Anas Gunn, Andrew Li, Yufeng Wang, Zhixin Almehmi, Ammar |
author_facet | Abdel Aal, Ahmed Kamel Mahmoud, Khalid Moustafa, Amr Soliman Aboueldahab, Noha Alaaeldin Souid, Anas Gunn, Andrew Li, Yufeng Wang, Zhixin Almehmi, Ammar |
author_sort | Abdel Aal, Ahmed Kamel |
collection | PubMed |
description | The aim of this study is to compare the outcomes of the elective-start versus urgent-start use of peritoneal dialysis (PD) catheters using percutaneous radiologic or laparoscopic techniques. Patients having their first peritoneal dialysis catheter placed and used between January 2005 and January 2018 were identified, and their medical records were retrospectively reviewed. Two groups were identified: elective-start (n = 211) and urgent-start (n = 29). Patient's demographics were similar between the two groups with the exception of age, which was higher in the elective-start group. The catheter complication rates and catheter removal rates at 3 and 12 months, mean days-to-first complication, mean days-to-catheter removal, and overall patient survival at 12 months were analyzed. Catheter complication rates at 3 and 12 months were similar between the two groups (27.8% and 48.9%, respectively, in the elective-start group versus 35.9% and 54.2%, respectively, in the urgent-start group, p=0.415). The catheter removal rates at 3 and 12 months were also similar between the two groups (p=0.088). Catheter leak was higher in the urgent-start group (13.8% versus 3.3%, respectively, p=0.011). There was no difference between the elective-start and the urgent-start groups in the mean days-to-first complication (95 vs 69, p=0.086), mean days-to-catheter removal (145 vs 127, p=0.757), and overall patient survival at 12 months (100% vs 97%, p=0.41). In conclusion, apart from catheter leak, there were similar rates of catheter complication and removal for PD catheter used for the elective-start compared to the urgent-start PD. Furthermore, the technique of placement did not affect the outcomes. |
format | Online Article Text |
id | pubmed-7197002 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-71970022020-05-05 Comparative Study on the Outcomes of Elective-Start versus Urgent-Start Peritoneal Dialysis Catheter Placement Abdel Aal, Ahmed Kamel Mahmoud, Khalid Moustafa, Amr Soliman Aboueldahab, Noha Alaaeldin Souid, Anas Gunn, Andrew Li, Yufeng Wang, Zhixin Almehmi, Ammar Radiol Res Pract Research Article The aim of this study is to compare the outcomes of the elective-start versus urgent-start use of peritoneal dialysis (PD) catheters using percutaneous radiologic or laparoscopic techniques. Patients having their first peritoneal dialysis catheter placed and used between January 2005 and January 2018 were identified, and their medical records were retrospectively reviewed. Two groups were identified: elective-start (n = 211) and urgent-start (n = 29). Patient's demographics were similar between the two groups with the exception of age, which was higher in the elective-start group. The catheter complication rates and catheter removal rates at 3 and 12 months, mean days-to-first complication, mean days-to-catheter removal, and overall patient survival at 12 months were analyzed. Catheter complication rates at 3 and 12 months were similar between the two groups (27.8% and 48.9%, respectively, in the elective-start group versus 35.9% and 54.2%, respectively, in the urgent-start group, p=0.415). The catheter removal rates at 3 and 12 months were also similar between the two groups (p=0.088). Catheter leak was higher in the urgent-start group (13.8% versus 3.3%, respectively, p=0.011). There was no difference between the elective-start and the urgent-start groups in the mean days-to-first complication (95 vs 69, p=0.086), mean days-to-catheter removal (145 vs 127, p=0.757), and overall patient survival at 12 months (100% vs 97%, p=0.41). In conclusion, apart from catheter leak, there were similar rates of catheter complication and removal for PD catheter used for the elective-start compared to the urgent-start PD. Furthermore, the technique of placement did not affect the outcomes. Hindawi 2020-04-25 /pmc/articles/PMC7197002/ /pubmed/32373364 http://dx.doi.org/10.1155/2020/3751827 Text en Copyright © 2020 Ahmed Kamel Abdel Aal et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Abdel Aal, Ahmed Kamel Mahmoud, Khalid Moustafa, Amr Soliman Aboueldahab, Noha Alaaeldin Souid, Anas Gunn, Andrew Li, Yufeng Wang, Zhixin Almehmi, Ammar Comparative Study on the Outcomes of Elective-Start versus Urgent-Start Peritoneal Dialysis Catheter Placement |
title | Comparative Study on the Outcomes of Elective-Start versus Urgent-Start Peritoneal Dialysis Catheter Placement |
title_full | Comparative Study on the Outcomes of Elective-Start versus Urgent-Start Peritoneal Dialysis Catheter Placement |
title_fullStr | Comparative Study on the Outcomes of Elective-Start versus Urgent-Start Peritoneal Dialysis Catheter Placement |
title_full_unstemmed | Comparative Study on the Outcomes of Elective-Start versus Urgent-Start Peritoneal Dialysis Catheter Placement |
title_short | Comparative Study on the Outcomes of Elective-Start versus Urgent-Start Peritoneal Dialysis Catheter Placement |
title_sort | comparative study on the outcomes of elective-start versus urgent-start peritoneal dialysis catheter placement |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197002/ https://www.ncbi.nlm.nih.gov/pubmed/32373364 http://dx.doi.org/10.1155/2020/3751827 |
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