Evidence map›Paper›PMID 37962745›Full record

ArticleClinical and experimental nephrology2024

The association between embedded catheter implantation and hospitalization costs for peritoneal dialysis initiation: a retrospective cohort study.

Maki Shinzawa, Ayumi Matsumoto, Harumi Kitamura, Yusuke Sakaguchi, Atsushi Takahashi, Isao Matsui, Masayuki Mizui, Ryohei Yamamoto, Yoshitaka Isaka

Open access · hybridAbstract read
In one paragraph

Article in Clinical and experimental nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 77% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 2 countries.

Maki ShinzawaDepartment of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. shinzawa@kid.med.osaka-u.ac.jp.ORCID http://orcid.org/0000-0002-7739-893X
Ayumi MatsumotoDepartment of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Harumi KitamuraDepartment of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Yusuke SakaguchiDepartment of Inter-Organ Communication Research in Kidney Disease, Osaka University Graduate School of Medicine, Suita, Japan.
Atsushi TakahashiDepartment of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Isao MatsuiDepartment of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Masayuki MizuiDepartment of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Ryohei YamamotoHealth and Counseling Center, Osaka University, Toyonaka, Japan.
Yoshitaka IsakaDepartment of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
The University of Osaka · JPHealth Promotion Services · USOsaka Health Science University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompared with the conventional peritoneal dialysis (PD) catheter insertion, embedding PD catheter implantation is one of the procedures for planned PD initiation. However, facilities where embedded PD catheter implantation is available are limited, and the impact of embedded PD catheter implantation on hospitalization cost and length of hospitalization is unknown.

methodsThis retrospective single-center cohort study included 132 patients with PD initiation between 2005 and 2020. The patients were divided into two groups: 64 patients in the embedding group and 68 patients in the conventional insertion group. We created a multivariable generalized linear model (GLM) with the gamma family and log-link function to evaluate the association among catheter embedding, the duration and medical costs of hospitalization for PD initiation. We also evaluated the effect modification between age and catheter embedding.

resultsCatheter embedding (β coefficient - 0.13 [95% confidence interval - 0.21, - 0.05]) and age (per 10 years 0.08 [0.03, 0.14]) were significantly associated with hospitalization costs. Catheter embedding (- 0.21 [- 0.32, - 0.10]) and age (0.11 [0.03, 0.19]) were also identified as factors significantly associated with length of hospitalization. The difference between the embedding group and the conventional insertion group in hospitalization costs for PD initiation (P for interaction = 0.060) and the length of hospitalization (P for interaction = 0.027) was larger in young-to-middle-aged patients than in elderly patients.

conclusionsCatheter embedding was associated with lower hospitalization cost and shorter length of hospitalization for PD initiation than conventional PD catheter insertion, especially in young-to-middle-aged patients.

Indexed as

Kidney Failure, ChronicPeritoneal DialysisAgedCatheters, IndwellingChildCohort StudiesHospitalizationHumansMiddle AgedRetrospective StudiesEmbedding catheterHospitalization costInitiationLength of hospitalizationPeritoneal dialysisStepwise initiation of PD using Moncrief and Popovich’s technique (SMAP)

Identifiers

PMID37962745
PMCPMC10881681
OpenAlexW4388657595

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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.