Evidence map›Paper›PMID 37405492›Full record

ArticlePediatric nephrology (Berlin, Germany)2023

Pediatric peritoneal dialysis training program and its relationship to peritonitis: a study of the International Pediatric Peritoneal Dialysis Network.

Nivedita Kamath, Dagmara Borzych-Dużałka, Amrit Kaur, Gisela Neto, Klaus Arbeiter, Yok Chin Yap, Annie Lahoche, Loai Eid, Nakysa Hooman, Troy Richardson and 3 more

Abstract read
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In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
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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

13 authors at 11 institutions in 11 countries.

Nivedita KamathSt John's Medical College Hospital, Bangalore, India. nkamath25@yahoo.com.ORCID http://orcid.org/0000-0002-3728-5711
Dagmara Borzych-DużałkaDepartment of Pediatrics, Nephrology and Hypertension, Medical University of Gdańsk, Gdańsk, Poland.
Amrit KaurRoyal Manchester Children's Hospital, Manchester, UK.
Gisela NetoPediatric Nephrology Unit, Dona Estefania Hospital, Lisbon, Portugal.
Klaus ArbeiterMedical University Vienna, Vienna, Austria.
Yok Chin YapWomen and Children Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Annie LahocheHospital Jeanne de Flandre CHRU, Lille, France.
Loai EidDubai Hospital, Dubai, United Arab Emirates.
Nakysa HoomanAli Asghar Clinical Research Development Center, Department of Pediatrics, Iran University of Medical Science, Tehran, Iran.
Troy RichardsonChildren's Hospital Association, Lenexa, KS, USA.
Franz SchaeferDivision of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg, Germany.
Bradley A WaradyDivision of Pediatric Nephrology, Children's Mercy Kansas City, Kansas City, USA.
IPPN participants
Children's Hospital Association · USHeidelberg University · DEChildren's Mercy Hospital · USDubai Hospital · AEHôpital Jeanne de Flandre · FRHospital de Dona Estefânia · PTHospital Kuala Lumpur · MYIran University of Medical Sciences · IRMedical University of Vienna · ATRoyal Manchester Children's Hospital · GBSt.John's Medical College Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe guidelines for training of patients and caregivers to perform home peritoneal dialysis (PD) uniformly include recommendations pertaining to the prevention of peritonitis. The objective of this study conducted by the International Pediatric Peritoneal Dialysis Network (IPPN) was to investigate the training practices for pediatric PD and to evaluate the impact of these practices on the peritonitis and exit-site infection (ESI) rate.

methodsA questionnaire regarding details of the PD program and training practices was distributed to IPPN member centers, while peritonitis and ESI rates were either derived from the IPPN registry or obtained directly from the centers. Poisson univariate and multivariate regression was used to determine the training-related peritonitis and ESI risk factors.

resultsSixty-two of 137 centers responded. Information on peritonitis and ESI rates were available from fifty centers. Training was conducted by a PD nurse in 93.5% of centers, most commonly (50%) as an in-hospital program. The median total training time was 24 hours, with a formal assessment conducted in 88.7% and skills demonstration in 71% of centers. Home visits were performed by 58% of centers. Shorter (< 20 hours) training duration and lower number of training tools (both p < 0.02) were associated with higher peritonitis rate, after adjustment for proportion of treated infants and income of country of residence.

conclusionsAn association between training duration and the number of training tools represent potentially modifiable risk factors to reduce peritonitis rates within the pediatric PD population. A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

Peritoneal DialysisPeritonitisCatheters, IndwellingChildHemodialysis, HomeHumansInfantRegistriesSurveys and QuestionnairesExit-site infection ratePediatric peritoneal dialysisPeritonitis rateTraining

Identifiers

PMID37405492
OpenAlexW4383186517

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.