Evidence map›Paper›PMID 33902497›Full record

ArticleBMC nephrology2021

Association between different peritoneal dialysis catheter placement methods and short-term postoperative complications.

Yibo Ma, Shuiqing Liu, Min Yang, Yun Zou, Dong Xue, Yanping Liu, Yufeng Wang, Xiao Xie, Hui Chen

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 1 institution in 1 country.

Yibo Ma *Department of Ultrasound, the Third Affiliated Hospital of Soochow University, 213003, Changzhou, China.
Shuiqing Liu *Department of Ultrasound, the Third Affiliated Hospital of Soochow University, 213003, Changzhou, China.
Min YangDepartment of Nephrology, the Third Affiliated Hospital of Soochow University, 213003, Changzhou, China.
Yun ZouDepartment of Nephrology, the Third Affiliated Hospital of Soochow University, 213003, Changzhou, China.
Dong XueDepartment of Urology, the Third Affiliated Hospital of Soochow University, 213003, Changzhou, China.
Yanping LiuDepartment of Ultrasound, the Third Affiliated Hospital of Soochow University, 213003, Changzhou, China.
Yufeng WangDepartment of Ultrasound, the Third Affiliated Hospital of Soochow University, 213003, Changzhou, China.
Xiao XieDepartment of Ultrasound, the Third Affiliated Hospital of Soochow University, 213003, Changzhou, China. xiexiao717@163.com.
Hui ChenDepartment of Ultrasound, the Third Affiliated Hospital of Soochow University, 213003, Changzhou, China. chenhui9138@163.com.
Soochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsidering that current peritoneal dialysis has its own shortcomings, In this study, the Seldinger technique was modified to explore the relationship between different catheter placement methods of peritoneal dialysis and short-term postoperative complications.

methodsWe retrospectively analyzed the data of 157 patients who received peritoneal dialysis in the Department of Nephrology of our hospital from January 2017 to December 2019. According to different catheter placement methods, the patients were divided into three groups: 111 cases of open surgery technique, 23 cases of Seldinger technique, and 23 cases of modified Seldinger technique (ultrasound-guided Veress needle puncture). The general data, laboratory indexes, and abdominal infection and catheter-related complications within one month postoperatively were collected.

resultsThere were 48 (31.0 %) cases of complications in 157 patients within one month postoperatively, which were mainly catheter-related complications (45 cases, 29.0 %). The incidence of catheter tip peritoneal drift (catheter migration) in the three groups was 27.3 %, 39.1 %, and 9.1 %, respectively, with no significant difference between groups (P = 0.069). Univariate logistic regression analysis showed that the systolic blood pressure, history of abdominal and pelvic surgery, creatinine, and modified Seldinger technique were possible impact factors of catheter migration (P < 0.10). After fully adjusting for confounding factors, Compared with the open surgery group, the modified Seldinger method group significantly reduced the risk of catheter migration with an OR of 0.161 (95 % confidence interval: 0.027-0.961, P = 0.045); However, the difference between the Seldinger method group and the open surgery group was not significant, with an OR of 1.061 (95 % confidence interval: 0.308-3.649, P = 0.926). Curve fitting showed that the average incidence of catheter migration in the three groups was 27.3 % (95% CI: 15.9-42.7 %), 28.5 % (95% CI: 10.7-56.9 %), and 5.7 % (95% CI: 1.0-27.0 %); the modified Seldinger method has the lowest average incidence of catheter migration.

conclusionsModified Seldinger technique can significantly reduce catheter-related short-term complications after peritoneal dialysis, and it is especially effective in reducing the incidence of catheter migration. Modified Seldinger technique is a safe and feasible method for the placement of a peritoneal dialysis catheter.

Indexed as

AdolescentAdultAgedAged, 80 and overCatheterizationEquipment FailureFemaleForeign-Body MigrationHumansKidney Failure, ChronicMaleMiddle AgedPeritoneal DialysisPostoperative ComplicationsRetrospective StudiesRisk FactorsCatheter migrationCatheter placementComplicationPeritoneal dialysis

Identifiers

PMID33902497
PMCPMC8074448
OpenAlexW3158109644

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LicenceCC BY
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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.