Influence of peritoneal dialysis catheter type on complications and long-term outcomes: an updated systematic review and meta-analysis

Esagian, Stepan M.; Spinos, Dimitrios; Vasilopoulou, Anastasia; Syrigos, Nikolaos; Bishawi, Muath; Lehrich, Ruediger W.; Middleton, John; Suhocki, Paul V.; Pappas, Theodore N.; Economopoulos, Konstantinos P.

doi:10.1007/s40620-021-01016-y

Cited by 5 publications

(4 citation statements)

References 65 publications

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“…Esagian et al conducted a meta-analysis that included observational studies to compare catheter removal as the outcome between swan-neck type and straight type catheters. 26 No significant difference was detected in catheter removal between the two groups. On the other hand, several observational studies have reported that swan-neck type catheters have superior technique survival and fewer mechanical/infectious complications than straight type catheters.…”

Section: Discussionmentioning

confidence: 85%

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: 85%

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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“…A recent systematic review and meta-analysis suggested that weighted catheters result in lower complication rates and superior long-term outcomes compared to non-weighted catheters [ 21 ]. This study adds observational evidence of the weighted catheter benefits.…”

Section: Discussionmentioning

confidence: 99%

Influence of peritoneal dialysis catheter type on dislocations and laxative use: a retrospective observational study

et al. 2022

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Background There is currently no consensus regarding the optimal type of peritoneal dialysis (PD) catheter. Although few studies showed that weighted catheters result in lower complication rates and superior long-term outcomes than non-weighted catheters, there are no studies on the use of laxatives linked to catheter malfunction, a patient-related outcome potentially affecting the quality of life. Thus, we compared the burden of acute and chronic laxative use in a cohort of PD patients having either weighted or non-weighted catheters. Methods We performed a single-center, retrospective, observational study in two renal units, comparing acute and chronic laxative therapy related to catheter drainage failure in a cohort of 74 PD patient,s divided by peritoneal dialysis catheter type. In addition, we evaluated the number of patients who experienced minor and major dislocations, catheter-related infection rate, hospitalization for catheter malfunctioning, episodes of catheter repositioning, and dropout from PD. Results Laxative use was significantly more common among patients in the non-weighted catheter group (acute: 30.3% vs. 9.8%, p = 0.03; chronic: 36.4% vs. 12.2%; p≤0.02). Furthermore, weighted catheters were superior to non-weighted catheters for all the secondary outcomes (dislocations: 12.2% vs. 45.5%; p = 0.001). Conclusions Weighted self-locating catheters have lower drainage failure, thus reducing the need and burden of acute and chronic laxative use among PD patients. Graphical abstract

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“…Each type of catheter has its unique advantages and disadvantages [15][16][17][18][19][20][21]. However, there are no consistent results regarding the theoretical design merits [20,[22][23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the impact of peritoneal dialysis catheter tail‐end design on catheter‐related complications

et al. 2023

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ObjectiveEvaluate the impact of peritoneal dialysis catheter (PDC) tail‐end design variations on PDC‐related complications.MethodEffective data were extracted from databases. The literature was evaluated according to the Cochrane Handbook for Systematic Reviews of Interventions, and a meta‐analysis was conducted.ResultsAnalysis revealed that the straight‐tailed catheter was superior to the curled‐tailed catheter in minimizing catheter displacement and complication‐induced catheter removal (RR = 1.73, 95%CI:1.18–2.53, p = 0.005). In terms of complication‐induced PDC removal, the straight‐tailed catheter was superior to the curled‐tailed catheter (RR = 1.55, 95%CI: 1.15–2.08, p = 0.004).ConclusionCurled‐tail design of the catheter increased the risk of catheter displacement and complication‐induced catheter removal, whereas the straight‐tailed catheter was superior to the curled‐tailed catheter in terms of reducing catheter displacement and complication‐induced catheter removal. However, the analysis and comparison of factors such as leakage, peritonitis, exit‐site infection, and tunnel infection did not reveal a statistically significant difference between the two designs.

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Influence of peritoneal dialysis catheter type on complications and long-term outcomes: an updated systematic review and meta-analysis

Cited by 5 publications

References 65 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

Influence of peritoneal dialysis catheter type on dislocations and laxative use: a retrospective observational study

Analysis of the impact of peritoneal dialysis catheter tail‐end design on catheter‐related complications

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