Comparison of outcomes of urgent-start and conventional-start peritoneal dialysis: a single-centre experience

Phang, Chee Chin; Foo, Marjorie Wai Yin; Johnson, David W.; Wu, Sin Yan; Hao, Ying; Jayaballa, Mathini; Koniman, Riece; Chan, Choong Meng; Oei, Elizabeth Ley; Chong, Tze Tec; Htay, Htay

doi:10.1007/s11255-020-02630-8

Cited by 7 publications

(10 citation statements)

References 26 publications

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“…Leakage is reportedly another major concern for patients undergoing USPD [9], and a shorter BI period could also increase the risk of leakage [32]. However, in our current study, the incidence of leakage was only 2.9% in elderly patients undergoing USPD within 6 months of PD catheter insertion, which was much lower than that in previous studies (4.8%-12.0%) [11,33].…”

Section: Discussioncontrasting

confidence: 80%

“…Our previous study indicated that patients' unskilled PD technique could increase the risk of early‐onset peritonitis in elderly patients during the early stage of dialysis [37]. Phang et al [32] suggested that dialysate leakage may increase the risk of peritonitis. Therefore, we attributed our inspiring results to good education and training of the patients at the beginning of PD and a low incidence of leakage.…”

Section: Discussionmentioning

confidence: 99%

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Safety of a 24‐h‐or‐less break‐in period in elderly patients undergoing urgent‐start peritoneal dialysis: A multicenter retrospective cohort study

Cheng

Yang

Sun³

et al. 2022

Ther Apher Dial

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Background Several elderly patients with end‐stage renal disease (ESRD) had to undergo urgent‐start peritoneal dialysis (USPD). This study aimed to determine whether break‐in period (BI) within 24 h was feasible in elderly patients undergoing USPD. Methods Patients with ESRD who underwent PD at five hospitals were screened. Patients were divided into the BI ≤24 h and >24 h groups. Complications were compared between the two groups. Multivariate logistic regression model was used to determine whether BI ≤24 h was associated with complications. Results A total of 175 elderly patients were included: BI ≤24 h group, 78; and BI >24 h group, 97. There was no significant difference in the rate of complications between the two groups (all p > 0.05). Furthermore, BI ≤24 h was not an independent risk factor for complications (all p > 0.05). Conclusions Starting PD within 24 h after PD catheter insertion was feasible in elderly ESRD patients.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Safety of a 24‐h‐or‐less break‐in period in elderly patients undergoing urgent‐start peritoneal dialysis: A multicenter retrospective cohort study

Cheng

Yang

Sun³

et al. 2022

Ther Apher Dial

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“…This study included 3034 PD participants, 1458 urgent start PD and 1576 conventional initiated PD. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] The overall sample size was between 7 and 433 individuals. Urgent start PDs were greater with respect to the risk of leakage from the conduit than with the conventional baseline PD (OR, 2.48; 95% CI, 1.72, 3.59, p < 0.00001), Figure 3.…”

Section: Resultsmentioning

confidence: 99%

“…9 In this meta-analysis, 3034 PD patients were enrolled at baseline, 1758 in the urgent-initiated PD arm and 15,76 in the conventional PD group. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] Patients with urgent-initiated PD were at a greater risk for conduit fluid leaks than those with conventional PD. But they were similar with respect to the risk of peritonitis, catheter dysfunction, catheter exit site infection and bleeding.…”

Section: Discussionmentioning

confidence: 99%

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The influence of different peritoneal dialysis techniques on wound infection in patients with peritoneal dialysis tube

Liu,

Wang

2023

International Wound Journal

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More and more research has started to investigate the effect of peritoneal dialysis treatment on the incidence of pericatheter wound complications in chronic kidney disease (CKD). This meta‐study evaluated the effect of emergency peritoneal dialysis (EPD) with conventional peritoneal dialysis (CPD) in patients with catheter‐related complications. We looked up 4 databases: PubMed, EMBASE, Cochrane, and Web of Science, and analysed the data with RevMan 5. There were a total of 15 studies with 3034 participants. While the quality of the research included was fairly good, the evidence was mediocre. In the meta‐analyses, the risk of leak in the conduit with PD was very high (OR, 2.48; 95% CI, 1.72, 3.59, p < 0.00001). However, for those treated with urgent medical method prior to initiation of PD, the risk for peritonitis, catheter dysfunction and bleeding was similar compared with CPD. Based on limited information, immediate initiation of PDs is advised in order to increase the quality of life for people in urgent need, except if there is no consideration for loss of fluid. The low quality of the evidence is holding up the evidence. This research, however, is also informative because of the large number of available data. Consequently, additional high quality, large, randomized controlled studies are required to establish.

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Comparison of immediate-start peritoneal dialysis without break-in period and conventional-start peritoneal dialysis: a two-center retrospective audit

Wongpraphairot,

Choopun,

Sriphatphiriyakun

et al. 2024

Int Urol Nephrol

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Comparison of outcomes of urgent-start and conventional-start peritoneal dialysis: a single-centre experience

Cited by 7 publications

References 26 publications

Safety of a 24‐h‐or‐less break‐in period in elderly patients undergoing urgent‐start peritoneal dialysis: A multicenter retrospective cohort study

Safety of a 24‐h‐or‐less break‐in period in elderly patients undergoing urgent‐start peritoneal dialysis: A multicenter retrospective cohort study

The influence of different peritoneal dialysis techniques on wound infection in patients with peritoneal dialysis tube

Comparison of immediate-start peritoneal dialysis without break-in period and conventional-start peritoneal dialysis: a two-center retrospective audit

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