Evidence map›Paper›PMID 41091353›Full record

ArticleClinical and experimental nephrology2026

Survey of exit-site management practices of peritoneal dialysis in Japan.

Satoshi Kurahashi, Hiroyuki Kadoya, Satoshi Ototake, Takaaki Kosugi, Masahiro Nakagaki, Ai Nagashima, Kenji Harada, Naohiro Toda, Masahiro Eriguchi, Yukinao Sakai and 12 more

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Article in Clinical and experimental nephrology, 2026. 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
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.

  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

22 authors.

Satoshi KurahashiJSPD PD-Related Infection Project Team, Tokushima, Japan.
Hiroyuki KadoyaJSPD PD-Related Infection Project Team, Tokushima, Japan. kadoya-hiro@med.kawasaki-m.ac.jp.ORCID http://orcid.org/0000-0002-3868-3869
Satoshi OtotakeJSPD PD-Related Infection Project Team, Tokushima, Japan.
Takaaki KosugiJSPD PD-Related Infection Project Team, Tokushima, Japan.
Masahiro NakagakiJSPD PD-Related Infection Project Team, Tokushima, Japan.
Ai NagashimaJSPD PD-Related Infection Project Team, Tokushima, Japan.
Kenji HaradaJSPD PD-Related Infection Project Team, Tokushima, Japan.
Naohiro TodaJSPD PD-Related Infection Project Team, Tokushima, Japan.
Masahiro EriguchiJSPD PD-Related Infection Project Team, Tokushima, Japan.
Yukinao SakaiJSPD PD-Related Infection Project Team, Tokushima, Japan.
Masashi MizunoJSPD PD-Related Infection Project Team, Tokushima, Japan.
Satoshi SuzukiDepartment of Nephrology, Kainan Hospital, Yatomi, Japan.
Keisuke MaruyamaCenter for Kidney Diseases, Okayama Saiseikai General Hospital, Okayama, Japan.
Tomoko InoueDepartment of Nephrology, Kawashima Hospital, Tokushima, Japan.
Nanae MatsuoDivision of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Yudo TannoDivision of Nephrology and Hypertension, The Jikei University School of Medicine, Katsushika Medical Center, Tokyo, Japan.
Yoshitaka IshibashiDepartment of Nephrology, Japanese Red Cross Medical Center, Tokyo, Japan.
Takefumi MoriDivision of Nephrology and Hypertension, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Masaaki NakayamaJSPD PD-Related Infection Project Team, Tokushima, Japan.
Hideki KawanishiDepartment of Surgery and Artificial Organs, Tsuchiya General Hospital, Hiroshima, Japan.
Jun MinakuchiDepartment of Nephrology, Kawashima Hospital, Tokushima, Japan.
Yasuhiko ItoJSPD PD-Related Infection Project Team, Tokushima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCatheter exit-site infection is a major cause of withdrawal from peritoneal dialysis (PD). However, methods for caring for the peritoneal catheter and exit sites are not established and vary among facilities. No survey has been conducted on exit-site management in Japan. Here, we aimed to identify successful examples that led to best practices.

methodsThe Japanese Society for Peritoneal Dialysis-led PD-related infection project was launched in 2023, under which a survey was conducted at 14 facilities nationwide that provide PD therapy. The survey content included questions about the timing of the initiation of exit-site care, the materials used in exit-site protection, and the disinfectants used for exit-site care.

resultsSeventy-one percent of the exit-site direction was downward. In all facilities, the exit site was dressed immediately after its creation for several days up to a certain period. Many facilities started exit-site care within 1-2 weeks of PD initiation. Notably, 50% of the facilities did not use disinfectants. Twelve facilities used gauze or film dressings to protect the exit site. The catheter was secured in many facilities; however, the distance of fixation varied. The timing for starting a shower after exit-site creation was commonly 1-4 weeks post-surgery. Nine facilities allowed bathing without a cover, typically after > 1 month. Of these, 7 did not use Spa Clean.

conclusionsThese findings provide insights into exit-site care trends across facilities. Further studies and trials are needed to establish the best practice on exit-site care for Japanese patients undergoing PD.

Indexed as

Catheter-Related InfectionsCatheters, IndwellingInfection ControlPeritoneal DialysisBandagesDisinfectantsHealth Care SurveysHumansJapanTime FactorsDisinfectantsExit-site managementInfectionPeritoneal dialysis

Identifiers

PMID41091353

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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.