Evidence map›Paper›PMID 34128096›Full record

ArticlePediatric nephrology (Berlin, Germany)2021

Omentectomy reduces the need for peritoneal dialysis catheter revision in children: a study from the Pediatric Nephrology Research Consortium.

Meredith P Schuh, Edward Nehus, Chunyan Liu, Abdulla Ehlayel, Stephanie Clark, Aftab Chishti, Alcia Delaney Edwards-Richards, Elif Erkan, Stephanie Jernigan, Margret Kamel and 5 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Non-infectious complications of peritoneal dialysis in children.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  4. Article
  5. 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

15 authors at 8 institutions in 1 country.

Meredith P SchuhDepartment of Pediatrics, Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Edward NehusDepartment of Pediatrics, Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Chunyan LiuDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Abdulla EhlayelDivision of Nephrology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Stephanie ClarkDivision of Nephrology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Aftab ChishtiDivision of Nephrology, University of Kentucky, Lexington, KY, USA.
Alcia Delaney Edwards-RichardsDivision of Nephrology, Wake Forest Baptist Health, Winston-Salem, NC, USA.
Elif ErkanDepartment of Pediatrics, Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Stephanie JerniganDivision of Nephrology, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Margret KamelDivision of Nephrology, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Kera LuckritzDivision of Nephrology, CS Mott Children's Hospital, Ann Arbor, MI, USA.
Bliss MagellaDepartment of Pediatrics, Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Asif MansuriDivision of Nephrology, Medical College of Georgia, Children's Hospital of Georgia, Augusta University, Augusta, GA, USA.
Amy C WilsonDepartment of Pediatrics, Division of Nephrology and Hypertension, Indiana University School of Medicine, Indianapolis, IN, USA.
Donna J ClaesDepartment of Pediatrics, Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA. Donna.Claes@cchmc.org.ORCID http://orcid.org/0000-0002-1041-1378
Cincinnati Children's Hospital Medical Center · USChildren's Healthcare of Atlanta · USChildren's Hospital of Philadelphia · USAtrium Health Wake Forest Baptist · USAugusta University · USC. S. Mott Children's Hospital · USIndiana University Health · USUniversity of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are no multi-center studies examining omentectomy and peritoneal dialysis (PD) catheter revision in the pediatric dialysis population.

methodsWe performed a retrospective study at eight centers within the Pediatric Nephrology Research Consortium (PNRC). Data review included all incident tunneled PD catheters placed between 1/1/2011 and 12/31/2016 in pediatric stage 5 chronic kidney disease (CKD 5) patients. The primary outcome was the need for catheter revision and/or replacement. Multivariable logistic regression was performed to evaluate predictors for catheter revision/replacement.

resultsData from 184 children (62.5% male; median age 7.4 years) were analyzed. Omentectomy was completed in 63.6% (n = 117). Revision/replacement occurred in 34.2% (n = 63); median time to revision/replacement was 38.5 days after insertion. PD catheter revision/replacement catheter occurred in 23.9% who underwent omentectomy versus 52.2% without omentectomy (p = 0.0005). Children ≥ 6 years at the time of catheter insertion experienced fewer revisions/replacements (18.2% age ≥ 6 vs. 56.5% age < 6 years, p <0.001). After adjusting for covariates, omentectomy reduced the need for revision by 63%; revision was 3.66 times more likely in those < 6 years of age.

conclusionsThis multi-center study demonstrates that omentectomy at the time of PD catheter insertion in pediatric patients is strongly associated with reduced likelihood of PD catheter revision. Omentectomy should be considered at the time of PD catheter insertion, especially in young children who are at high risk for PD catheter malfunction. A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

NephrologyPeritoneal DialysisCathetersCatheters, IndwellingChildChild, PreschoolFemaleHumansMaleOmentumReoperationRetrospective StudiesCatheter malfunctionChildrenOmentectomyPediatric nephrologyPeritoneal dialysisStage 5 chronic kidney disease

Identifiers

PMID34128096
OpenAlexW3172599339

What OpenQuestion holds

Textmetadata
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.