Similar outcomes of catheters implanted by nephrologists and surgeons: analysis of the Brazilian peritoneal dialysis multicentric study

Seminars in Dialysis
Thyago P de MoraesInvestigators of BRAZPD

Abstract

A good catheter implantation technique is important to allow for effective peritoneal access function and long-term technique survival. Studies regarding results obtained by nephrologists in comparison with surgeons have been limited to small single-center experiences. Thus, the objective of this study was to explore the impact of the peritoneal dialysis (PD) catheter insertion operator on early catheter complications and on technique survival in a large national multicentric cohort study (Brazilian Peritoneal Dialysis Multicentric Study, BRAZPD). Adult incident patients recruited in the BRAZPD from December 2004 to October 2007 having undergone first PD catheter implantation were included in the analysis. Mechanical and infectious early complication rates were defined as time to the first event occurring up to 3 months after catheter insertion and adjusted for comorbidities. Valid data of 736 patients (mean age of 59 ± 16 years old, 52% women, 61% white) were analyzed. Mechanical (HR 0.99 [CI 0.56-1.76]; p = 0.98) and infectious (HR 0.63 [CI 0.32-1.23]; p = 0.17) early complication rates were similar between groups. Long-term catheter survival was also similar between groups. Early complications rates and catheter survival wer...Continue Reading

References

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Citations

Dec 7, 2013·World Journal of Surgery·Young Suk ParkJongwon Ha
Nov 2, 2015·Nefrología : publicación oficial de la Sociedad Española Nefrologia·Silvia Ros-RuizDomingo Hernández
Jun 12, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Philip Kam-tao Li, Kai Ming Chow
Dec 8, 2015·BioMed Research International·Jernej Pajek
Apr 1, 2017·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Cheuk-Chun SzetoEdwina A Brown
Oct 15, 2013·Seminars in Dialysis·Domingos Candiota ChulaMarcelo Mazza do Nascimento

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