Evidence map›Paper›PMID 32093633›Full record

SynthesisBMC nephrology2020

Randomized controlled trials for comparison of laparoscopic versus conventional open catheter placement in peritoneal dialysis patients: a meta-analysis.

Mei-Lan Sun, Yong Zhang, Bo Wang, Te-An Ma, Hong Jiang, Shou-Liang Hu, Piao Zhang, Yan-Hong Tuo

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Percutaneous Insertion of Peritoneal Dialysis Catheters.Cardiovascular and interventional radiology · 2025
    Review
  7. Article
  8. Article
  9. Image-guided tunneled peritoneal dialysis catheter placement.Cardiovascular diagnosis and therapy · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Mei-Lan SunDepartment of Blood Purification Center, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.
Yong ZhangDepartment of Nephrology, Jianli People's Hospital, Jingzhou, Hubei, China.
Bo WangDepartment of Ultrasonic Imaging, Affiliated Renhe Hospital of China Three Gorges University, Yichang, Hubei, China.
Te-An MaDepartment of Nephrology, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.
Hong JiangDepartment of Nephrology, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.
Shou-Liang HuDepartment of Nephrology, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.
Piao ZhangDepartment of Nephrology, Nanjing General Hospital of Nanjing Military Command, Nanjing, Jiangsu, China.
Yan-Hong TuoDepartment of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. tuoyanhongh@163.com.
Yangtze University · CNCentral Hospital of Wuhan · CNChina Three Gorges University · CNFirst People's Hospital of Jingzhou · CNNanjing General Hospital of Nanjing Military Command · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe application of laparoscopic catheterization technology in peritoneal dialysis (PD) patients has recently increased. However, the advantages and disadvantages of laparoscopic versus conventional open PD catheter placement are still controversial. The aim of this meta-analysis is to assess the complications of catheterization in PD patients and to provide a reference for choosing a PD-catheter placement technique in the clinic.

methodsWe searched numerous databases, including Embase, PubMed, CNKI and the Cochrane Library, for published randomized controlled trials (RCTs).

resultsEight relevant studies (n = 646) were included in the meta-analysis. The pooled results showed a lower incidence of catheter migration (OR: 0.42, 95% CI: 0.19 to 0.90, P: 0.03) and catheter removal (OR: 0.41, 95% CI: 0.21 to 0.79, P: 0.008) but a higher incidence of bleeding (OR: 3.25, 95% CI: 1.18 to 8.97, P: 0.02) with a laparoscopic approach than with a conventional approach. There was no significant difference in the incidence of omentum adhesion (OR: 0.32, 95% CI: 0.05 to 2.10, P: 0.24), hernia (OR: 0.38, 95% CI: 0.09 to 1.68, P: 0.20), leakage (OR: 0.69, 95% CI: 0.38 to 1.26, P: 0.23), intestinal obstruction (OR: 0.96, 95% CI: 0.48 to 1.91, P: 0.90) or perforation (OR: 0.95, 95% CI: 0.06 to 15.42, P: 0.97). The statistical analysis showed no significant difference in early (OR: 0.44, 95% CI: 0.15 to 1.33, P: 0.15), late (OR: 0.89, 95% CI: 0.41 to 1.90, P: 0.76) or total (OR: 0.68, 95% CI: 0.42 to 1.12, P: 0.13) peritonitis infections between the 2 groups, and there are no no significant difference in early (OR: 0.39, 95% CI: 0.06 to 2.36, P: 0.30), late (OR: 1.35, 95% CI: 0.78 to 2.33, P: 0.16) or total (OR: 1.20, 95% CI: 0.71 to 2.02, P: 0.17) tunnel or exit-site infections between the 2 groups.

conclusionLaparoscopic catheterization and conventional open catheter placement in PD patients have unique advantages, but laparoscopic PD catheterization may be superior to conventional open catheter placement. However, this conclusion needs to be confirmed with further large-sample-size, multi-centre, high-quality RCTs.

Indexed as

LaparoscopyPeritoneal DialysisCatheterizationHemorrhageHumansPeritonitisRandomized Controlled Trials as TopicComplicationsConventional open catheter placementLaparoscopic catheter placementMei-Lan sun and Yong Zhang are contributed equally to this workMeta-analysisPeritoneal dialysis

Identifiers

PMID32093633
PMCPMC7038608
OpenAlexW3012871225

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.