ArticleBMC nephrology2020
Percutaneous insertion of peritoneal dialysis catheter is a safe and effective technique irrespective of BMI.
Article in BMC nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Surgical versus percutaneous catheter placement for peritoneal dialysis: an updated systematic review and meta-analysis.Journal of nephrology · 2021Pooled it
- Long-term success of percutaneously placed peritoneal dialysis catheters.Renal failure · 2026Article
- Peritoneal dialysis catheter insertion in patients with obesity: a cohort study and single centre approach to increasing uptake.BMC nephrology · 2025Observational
- Randomized Study of Urgent-Start Peritoneal Dialysis Versus Urgent-Start Temporary Hemodialysis in Patients Transitioning to Kidney Failure.Kidney international reports · 2022Article
- Association between different peritoneal dialysis catheter placement methods and short-term postoperative complications.BMC nephrology · 2021Article
- Establishment of a prediction model for early and mid-term complications for patients undergoing catheter insertion for peritoneal dialysis.The Journal of international medical research · 2021Article
- Peritoneal Dialysis Catheter Insertion by Nephrologist Using Minilaparotomy: Do Survival and Complications Vary in Obese?Indian journal of nephrologyArticle
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundA large body mass index (BMI) has been considered as a relative contraindication for percutaneous catheter insertion, although this technique has many advantages. Up to now, there are few studies on peritoneal catheter placement and obesity. The aim of this study was to determine whether patients with large BMI can also choose the percutaneous technique for peritoneal dialysis catheter insertion.
methodsOne hundred eighty seven consecutive patients underwent peritoneal catheter insertions in the Chinese PLA General Hospital between January 1, 2015 and December 31, 2016, with 178 eligible cases being included in the analysis. Two groups were created based on the catheter insertion techniques, the percutaneous group (group P) and the surgical group (group S). Subgroups were created according to BMI > 28 or ≤ 28. The outcomes included catheter related complications and catheter survival.
resultsTotal infectious complication rates were significantly lower in group P than in group S. There were no significant differences in peritonitis rate between group P and group S (1.20% vs. 3.16% with P = 0.71 in early stage, and 4.82% vs. 11.58% with P = 0.11 in late stage). All other measured complications were similar between the two groups. Though the one-year infection-free catheter survival in group P was 7.5% higher than group S, the difference was not significant. The one-year dysfunction-free catheter survival, one-year dysfunction-and-infection-free catheter survival, and overall catheter survival were similar between the two groups. Subgroup analyses showed a superior one-year infection-free catheter survival of percutaneous technique in patients with BMI > 28, which was confirmed by Kaplan-Meier analysis.
conclusionsDespite the challenges that may be encountered with patients who have a large BMI, the percutaneous technique seems to be a safe and effective approach to placing a peritoneal dialysis catheter.
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