SynthesisJournal of nephrology2021
Surgical versus percutaneous catheter placement for peritoneal dialysis: an updated systematic review and meta-analysis.
Synthesis in Journal of nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- SAGES peritoneal dialysis access guideline update 2023.Surgical endoscopy · 2024Guideline
- Influence of peritoneal dialysis catheter type on complications and long-term outcomes: an updated systematic review and meta-analysis.Journal of nephrology · 2021Pooled it
- Evaluation of the effectiveness of prophylactic omentopexy during laparoscopic insertion of peritoneal dialysis catheter: a case-control clinical trial.International urology and nephrology · 2023Trial
- Nephrologist-led fluoroscopic PD catheter insertion enables safe urgent-start PD: five-year single-center experience.BMC nephrology · 2026Article
- Safety and feasibility of initiating peritoneal dialysis within 24 h after percutaneous versus surgical catheter placement.Clinical kidney journal · 2026Article
- Complications Related to Urgent Initiation of Peritoneal Dialysis in a Mexican Hospital with Limited Resources: A Prospective Cohort.Clinics and practice · 2026Article
- Comparison of peritoneal dialysis catheter placement outcomes: image-guided percutaneous technique versus advanced laparoscopic surgical technique.Clinical kidney journal · 2026Article
- Article
- Evaluation of a Training Program in Peritoneal Dialysis Catheter Insertion for Nephrologists in South America.Blood purification · 2025Article
- A New, Safe, and Effective Technique for Percutaneous Insertion of a Peritoneal Dialysis Catheter.Journal of clinical medicine · 2024Article
- The error of estimated GFR in predialysis care.Scientific reports · 2024Article
- Analysis of risk factor for peritonitis in peritoneal dialysis patients.American journal of translational research · 2024Article
- Catheter Event Rates in Medical Compared to Surgical Peritoneal Dialysis Catheter Insertion.Kidney international reports · 2023Article
- Urgent Implantation of Peritoneal Dialysis Catheter in Chronic Kidney Disease and Acute Kidney Injury-A Review.Journal of clinical medicine · 2023Review
- Mortality and Quality of Life with Chronic Kidney Disease: A Five-Year Cohort Study with a Sample Initially Receiving Peritoneal Dialysis.Healthcare (Basel, Switzerland) · 2022Article
- The "Half-Perc" technique using a simple modified metal trocar for peritoneal dialysis catheter placement: results of a 3-year follow-up of 280 patients and a literature review.International urology and nephrology · 2022Review
- Importance of the creation of a short musculofascial tunnel in peritoneal dialysis catheter placement.World journal of clinical cases · 2022Article
- Ultrasound-Guided Modified Seldinger Placement of Tenckhoff Catheters in Pediatric Patients Undergoing Peritoneal Dialysis: Single Center Experience.Frontiers in pediatrics · 2022Article
- Association between different peritoneal dialysis catheter placement methods and short-term postoperative complications.BMC nephrology · 2021Article
- Peritoneal dialysis catheter implantation: technical aspects, challenges, and current perspectives.Jornal brasileiro de nefrologiaReview
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNo consensus currently exists regarding the optimal approach for peritoneal dialysis catheter placement. We aimed to compare the outcomes of percutaneous and surgical peritoneal dialysis catheter placement.
methodsA systematic review of the literature was performed using the MEDLINE, Cochrane Library, and Scopus databases (end-of-search date: August 29th, 2020). We included studies comparing percutaneous (blind, under fluoroscopic/ultrasound guidance, and "half-perc") and surgical peritoneal dialysis catheter placement (open and laparoscopic) in terms of their infectious complications (peritonitis, tunnel/exit-site infections), mechanical complications (leakage, inflow/outflow obstruction, migration, hemorrhage, hernia, bowel perforation) and long-term outcomes (malfunction, removal, replacement, surgery required, and mortality).
resultsThirty-four studies were identified, including thirty-two observational studies (twenty-six retrospective and six prospective) and two randomized controlled trials. Percutaneous placement was associated with significantly lower rates of tunnel/exit-site infection [relative risk (RR) 0.72, 95% confidence interval (CI) 0.56-0.91], catheter migration (RR 0.68, 95% CI 0.49, 0.95), and catheter removal (RR 0.73, 95% CI 0.60-0.88). The 2-week and 4-week rates of early tunnel/exit-site infection were also lower in the percutaneous group (RR 0.45, 95% CI 0.22-0.93 and RR 0.41, 95% CI 0.27-0.63, respectively). No statistically significant difference was observed regarding other outcomes, including catheter survival and mechanical complications.
conclusionOverall, the quality of published literature on the field of peritoneal dialysis catheter placement is poor, with a small percentage of studies being randomized clinical trials. Percutaneous peritoneal dialysis catheter placement is a safe procedure and may result in fewer complications, such as tunnel/exit-site infections, and catheter migration, compared to surgical placement. PROTOCOL REGISTRATION: PROSPERO CRD42020154951.
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