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Abstract
Introduction: Good peritoneal access is essential for performing peritoneal dialysis (PD). Our PD unit uses a technique for pre-surgical marking of the peritoneal catheter. The study aimed to evaluate the influence of pre-surgical marking on complications related to post-PD catheter placement.
Materials and Method: This is a cohort study. We included patients over 18 who underwent peritoneal catheter placement in 2018, corresponding to the cohort without marking, and in 2022, corresponding to the cohort with marking. The variables analysed were age, sex, complications, and solutions to complications. Using logistic regression, we calculated the Odds Ratio (OR) of complications for the labelled group and its 95% confidence interval.
Results: 107 patients were analysed. The mean age was 65.6±12.2 years, and 73.8 % were male. Of the 56 patients without tagging, 33 suffered complications compared to 18 in the cohort with tagging. OR 0.36 (95% CI 0.16 to 0.79). 38.9% of complications had resolution in the tagging group vs 24.2% in the non-tagging group.
Conclusions: Patients with pre-surgical marking have a 64% lower risk of complications. This effect does not lose magnitude when adjusted for age and sex (OR 0.39 (95% CI 0.17-0.86). Complications in the marked cohort were resolved more frequently than in the unmarked cohort. We conclude that pre-marking the catheter reduces post-surgical complications.
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Copyright (c) 2024 Fabiola Menéndez-Servide, Mónica Fernández-Pérez, Adela Suárez-Álvarez, Jessica Blanco-Sierra, Magdalena Pasarón-Alonso, Miguel Núñez-Moral
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References
- Crabtree JH, Shrestha BM, Chow KM, Figueiredo AE, Povlsen JV, Wilkie M, Abdel-Aal A, Cullis B, Goh BL, Briggs VR, Brown EA, Dor FJ. Creating and Maintaining Optimal Peritoneal Dialysis Access in the Adult Patient: 2019 Update. Perit Dial Int [Internet]. 2019 [consultado 4 Feb 2023];39(5):414-36. Disponible en: https://doi.org/10.3747/pdi.2018.00232 DOI: https://doi.org/10.3747/pdi.2018.00232
- Crabtree JH, Hathaway PB. Patient selection and planning for image-guided peritoneal dialysis catheter placement. Seminars in Interventional Radiology. 2022;39(01):32–9. DOI: https://doi.org/10.1055/s-0041-1741078
- Rodríguez-Palomares JR, Ruiz C, Granado A, Montenegro J. El acceso peritoneal. En: Coronel, F. Guías de práctica clínica en diálisis peritoneal. Sociedad Española de Nefrología. 2005;82-107
- Aznar Artiles Y, Zaragoza Fernández C, Alfonso Porcar M, Villalba Caballero R, García Aguado R, Pérez García A. Experiencia en la colocación del catéter para diálisis peritoneal por parte de la unidad de cirugía mayor ambulatoria. Cir May Amb 2007;12:67-70.
- Díaz-Rosales JD, Herrera-Gastellum JC. Procedimientos en cirugía: Colocación percutánea del catéter de diálisis peritoneal. Arch Med (Manizales) 2016;16(2):385-2. DOI: https://doi.org/10.30554/archmed.16.2.1496.2016
- Wong LP, Liebman SE, Wakefield KA, Messing S. Training of surgeons in peritoneal dialysis catheter placement in the United States: a national survey. Clin J Am Soc Nephrol. 2010;5(8):1439-46. DOI: https://doi.org/10.2215/CJN.08751209
- Peppelenbosch A, van Kuijk WH, Bouvy ND, van der Sande FM, Tordoir JH. Peritoneal dialysis catheter placement technique and complications. NDT Plus. 2008;1(Suppl 4) DOI: https://doi.org/10.1093/ndtplus/sfn120
- Wong LP, Yamamoto KT, Reddy V, et al. Patient Education and Care for Peritoneal Dialysis Catheter Placement: A Quality Improvement Study. Perit Dial Int. 2014;34(1):12-23. DOI: https://doi.org/10.3747/pdi.2012.00190
- Khan SF, Rosner MH. Optimizing peritoneal dialysis catheter placement. Front Nephrol [Internet]. 2023 [consultado 2 Feb 2023];3. Disponible en: https://doi.org/10.3389/fneph.2023.1056574 DOI: https://doi.org/10.3389/fneph.2023.1056574
References
Crabtree JH, Shrestha BM, Chow KM, Figueiredo AE, Povlsen JV, Wilkie M, Abdel-Aal A, Cullis B, Goh BL, Briggs VR, Brown EA, Dor FJ. Creating and Maintaining Optimal Peritoneal Dialysis Access in the Adult Patient: 2019 Update. Perit Dial Int [Internet]. 2019 [consultado 4 Feb 2023];39(5):414-36. Disponible en: https://doi.org/10.3747/pdi.2018.00232 DOI: https://doi.org/10.3747/pdi.2018.00232
Crabtree JH, Hathaway PB. Patient selection and planning for image-guided peritoneal dialysis catheter placement. Seminars in Interventional Radiology. 2022;39(01):32–9. DOI: https://doi.org/10.1055/s-0041-1741078
Rodríguez-Palomares JR, Ruiz C, Granado A, Montenegro J. El acceso peritoneal. En: Coronel, F. Guías de práctica clínica en diálisis peritoneal. Sociedad Española de Nefrología. 2005;82-107
Aznar Artiles Y, Zaragoza Fernández C, Alfonso Porcar M, Villalba Caballero R, García Aguado R, Pérez García A. Experiencia en la colocación del catéter para diálisis peritoneal por parte de la unidad de cirugía mayor ambulatoria. Cir May Amb 2007;12:67-70.
Díaz-Rosales JD, Herrera-Gastellum JC. Procedimientos en cirugía: Colocación percutánea del catéter de diálisis peritoneal. Arch Med (Manizales) 2016;16(2):385-2. DOI: https://doi.org/10.30554/archmed.16.2.1496.2016
Wong LP, Liebman SE, Wakefield KA, Messing S. Training of surgeons in peritoneal dialysis catheter placement in the United States: a national survey. Clin J Am Soc Nephrol. 2010;5(8):1439-46. DOI: https://doi.org/10.2215/CJN.08751209
Peppelenbosch A, van Kuijk WH, Bouvy ND, van der Sande FM, Tordoir JH. Peritoneal dialysis catheter placement technique and complications. NDT Plus. 2008;1(Suppl 4) DOI: https://doi.org/10.1093/ndtplus/sfn120
Wong LP, Yamamoto KT, Reddy V, et al. Patient Education and Care for Peritoneal Dialysis Catheter Placement: A Quality Improvement Study. Perit Dial Int. 2014;34(1):12-23. DOI: https://doi.org/10.3747/pdi.2012.00190
Khan SF, Rosner MH. Optimizing peritoneal dialysis catheter placement. Front Nephrol [Internet]. 2023 [consultado 2 Feb 2023];3. Disponible en: https://doi.org/10.3389/fneph.2023.1056574 DOI: https://doi.org/10.3389/fneph.2023.1056574