Evidence map›Paper›PMID 37989887›Full record

GuidelineSurgical endoscopy2024

SAGES peritoneal dialysis access guideline update 2023.

Stephen P Haggerty, Sunjay S Kumar, Amelia T Collings, Vamsi V Alli, Emily Miraflor, Nader M Hanna, Dimitrios I Athanasiadis, David J Morrell, Mohammed T Ansari, Ahmed Abou-Setta and 3 more

Abstract readGuidelineSystematic Review
PubMed Publisher
In one paragraph

Guideline in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Non-infectious complications of peritoneal dialysis in children.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Interpretable machine learning models for the prediction of all-cause mortality and time to death in hemodialysis patients.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Analysis of risk factor for peritonitis in peritoneal dialysis patients.American journal of translational research · 2024
    Article
  14. 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

13 authors.

Stephen P HaggertyDepartment of Surgery, NorthShore University HealthSystem, 2650 Ridge Avenue, Evanston, IL, 60201, USA. SHaggerty@northshore.org.ORCID 0000-0001-8058-2466
Sunjay S KumarDepartment of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Amelia T CollingsDepartment of Surgery, Hiram C. Polk, Jr., University of Louisville, Louisville, KY, USA.
Vamsi V AlliDepartment of Surgery, Pennsylvania State College of Medicine, Hershey, PA, USA.
Emily MiraflorDepartment of Surgery, UCSF East Bay, University of California, San Francisco, CA, USA.
Nader M HannaDepartment of Surgery, Queen's University, Kingston, ON, Canada.
Dimitrios I AthanasiadisDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
David J MorrellDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Mohammed T AnsariFaculty of Medicine, School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
Ahmed Abou-SettaCentre for Healthcare Innovation, University of Manitoba, Winnipeg, MB, Canada.
Danielle WalshDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
Dimitrios StefanidisDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Bethany J SlaterDepartment of Surgery, University of Chicago Medicine, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive surgery has been used for both de novo insertion and salvage of peritoneal dialysis (PD) catheters. Advanced laparoscopic, basic laparoscopic, open, and image-guided techniques have evolved as the most popular techniques. The aim of this guideline was to develop evidence-based guidelines that support surgeons, patients, and other physicians in decisions on minimally invasive peritoneal dialysis access and the salvage of malfunctioning catheters in both adults and children.

methodsA guidelines committee panel of the Society of American Gastrointestinal and Endoscopic Surgeons reviewed the literature since the prior guideline was published in 2014 and developed seven key questions in adults and four in children. After a systematic review of the literature, by the panel, evidence-based recommendations were formulated using the Grading of Recommendations Assessment, Development and Evaluation approach. Recommendations for future research were also proposed.

resultsAfter systematic review, data extraction, and evidence to decision meetings, the panel agreed on twelve recommendations for the peri-operative performance of laparoscopic peritoneal dialysis access surgery and management of catheter dysfunction.

conclusionsIn the adult population, conditional recommendations were made in favor of: staged hernia repair followed by PD catheter insertion over simultaneous and traditional start over urgent start of PD when medically possible. Furthermore, the panel suggested advanced laparoscopic insertion techniques rather than basic laparoscopic techniques or open insertion. Conditional recommendations were made for either advanced laparoscopic or image-guided percutaneous insertion and for either nonoperative or operative salvage. A recommendation could not be made regarding concomitant clean-contaminated surgery in adults. In the pediatric population, conditional recommendations were made for either traditional or urgent start of PD, concomitant clean or clean-contaminated surgery and PD catheter placement rather than staged, and advanced laparoscopic placement rather than basic or open insertion.

Indexed as

Kidney Failure, ChronicLaparoscopyPeritoneal DialysisAdultCatheterizationCatheters, IndwellingChildHumansPeritoneumChronic renal failureGuidelinesLaparoscopic peritoneal dialysis catheter insertionPediatricsPeritoneal dialysis access

Identifiers

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.