ArticleClinical kidney journal2026
Safety and feasibility of initiating peritoneal dialysis within 24 h after percutaneous versus surgical catheter placement.
Article in Clinical kidney journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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1 citing paper in PubMed.
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10 authors.
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Abstract
Background: End-stage kidney disease (ESKD) is a rising global health challenge. Despite superior quality of life and cost-effectiveness, only 11% of patients initiate renal replacement therapy with peritoneal dialysis (PD), primarily due to the traditional extended break-in period. Recent advancements in percutaneous catheter placement have facilitated urgent-start and early-start PD protocols. This study compared the break-in period [immediate-start PD (<24 h)] and catheter placement-related complications between percutaneous and surgical techniques. Methods: This retrospective multicenter study analyzed 429 patients who underwent PD catheter insertion at three Mexican nephrology centers; 416 patients had confirmed ESKD. Techniques included mini-laparotomy and percutaneous methods (stylet or Seldinger). Data collection encompassed baseline characteristics, break-in periods and 30-day complications, classified as minor (mechanical and infectious) or major (bleeding, visceral perforation and death). Results: The majority of patients initiated PD within 24 h of catheter placement, and 49% within 6 h, 88% of patients using the Stylet technique and 58% of those using the Seldinger technique, compared with 3.8% using mini-laparotomy ( Conclusion: Immediate-start PD, defined as initiation within 24 h of catheter placement, is safe and feasible. These findings support the expansion of nephrologist training in percutaneous placement.
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