ArticlePloS one2018
Early technical complications and long-term survival of urgent peritoneal dialysis according to break-in periods.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Prognosis of urgent initiation of peritoneal dialysis: a systematic review and meta-analysis.Renal failure · 2024Pooled it
- Urgent-start peritoneal dialysis versus haemodialysis for people with chronic kidney disease.The Cochrane database of systematic reviews · 2021Pooled it
- Urgent-start peritoneal dialysis versus conventional-start peritoneal dialysis for people with chronic kidney disease.The Cochrane database of systematic reviews · 2020Pooled it
- Long-term survival of older patients undergoing urgent-start peritoneal dialysis.BMC geriatrics · 2026Article
- Immediate-start peritoneal dialysis without break-in-period: an 18-year retrospective cohort study on patient survival.Kidney research and clinical practice · 2025Article
- Percutaneous Insertion of Peritoneal Dialysis Catheters.Cardiovascular and interventional radiology · 2025Review
- Pericatheter Leak Associated With Earlier Peritoneal Dialysis Initiation Does Not Influence Long-Term Outcomes.Kidney international reports · 2024Article
- Feasibility of a break-in period of less than 24 hours for urgent start peritoneal dialysis: a multicenter study.Renal failure · 2022Article
- Randomized Study of Urgent-Start Peritoneal Dialysis Versus Urgent-Start Temporary Hemodialysis in Patients Transitioning to Kidney Failure.Kidney international reports · 2022Article
- Break-in Period ≤24 Hours as an Option for Urgent-start Peritoneal Dialysis in Patients With Diabetes.Frontiers in endocrinology · 2022Article
- Review
- Factors Associated With Urgent-Start Peritoneal Dialysis Catheter Complications in ESRD.Kidney international reports · 2020Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGuidelines recommend a break-in period of 2 weeks before starting peritoneal dialysis (PD), but PD within 14 days is also an acceptable and safe alternative to hemodialysis (HD) in patients with an urgent need. However, the effect of the break-in period within 48 hours or later had not been evaluated for early technical complications, long-term maintenance, and survival in patients starting urgent PD.
methodsOf 360 patients with a surgically inserted PD catheter, we evaluated 190 patients who needed urgent PD and 29 patients who received conventional PD at a single center between January 2007 and December 2014 in this retrospective observational study. Enrolled patients were divided according to break-in period of <48 hours (P1) or 2-13 days (P2) before starting urgent PD. The primary endpoint was incidence of early technical complications and secondary endpoints included long-term PD maintenance, and patient survival.
resultsPD was started in 103 patients (54.2%) within 48 hours and in 87 patients (45.8%) within 2 to 13 days. The incidence of early technical complication was significantly higher in P1 group (28.2%) than in P2 group (10.3%) (P = 0.002). The need for a repositioning procedure was significantly greater in P1 group (14.6%) than in P2 group (3.4%) (P = 0.009). However, we observed no significant differences between the two groups with respect to the prevalence of catheter dysfunction requiring change to HD within 6 months or incidence of peritonitis or exit-site infection. There was no significant difference in PD maintenance and patient survival according to the break-in period between P1 and P2 as well as against the control group.
conclusionUrgent PD was associated with a low incidence of early technical complications if start was avoided within 48 hours after catheter insertion, and long-term PD maintenance was independent of the break-in period.
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