A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan

被引：8

作者：

Sakurada, Tsutomu ^{[1
]}

Kojima, Shigeki ^{[1
]}

Yamada, Shohei ^{[1
]}

Koitabashi, Kenichiro ^{[2
]}

Taki, Yasuhiro ^{[2
]}

Matsui, Katsuomi ^{[3
]}

Murasawa, Masaru ^{[4
]}

Kawarazaki, Hiroo ^{[5
]}

Shimizu, Sayaka ^{[6
]}

Kobayashi, Hironori ^{[7
]}

Asai, Toshihiro ^{[8
]}

Hashimoto, Koji ^{[9
]}

Hoshino, Taro ^{[10
]}

Sugitani, Seita ^{[11
]}

Maoka, Tomochika ^{[12
]}

Nagase, Akihiko ^{[13
]}

Sato, Hirotaka ^{[14
]}

Fukuoka, Kosuke ^{[15
]}

Sofue, Tadashi ^{[16
]}

Koibuchi, Kiyoto ^{[17
]}

Nagayama, Kiyomitsu ^{[18
]}

Washida, Naoki ^{[19
]}

Koide, Shigehisa ^{[20
]}

Okamoto, Takayuki ^{[21
]}

Ishii, Daisuke ^{[22
]}

Furukata, Satoshi ^{[23
]}

Uchiyama, Kiyotaka ^{[19
,24
]}

Takahashi, Shunsuke ^{[25
]}

Nishizawa, Yoshiko ^{[26
]}

Naito, Shotaro ^{[27
]}

Toda, Naohiro ^{[28
]}

Naganuma, Tsukasa ^{[29
]}

Kikuchi, Hidetoshi ^{[30
]}

Suzuki, Tomo ^{[31
]}

Komukai, Daisuke ^{[32
]}

Kimura, Takahide ^{[33
]}

Io, Hiroaki ^{[34
]}

Yoshikawa, Kazuhiro ^{[35
]}

Naganuma, Toshihide ^{[36
]}

Morishita, Masamitsu ^{[37
]}

Oshikawa, Jin ^{[38
]}

Tamagaki, Keiichi ^{[39
]}

Fujisawa, Hajime ^{[40
]}

Ueda, Atsushi ^{[41
]}

Kanaoka, Tomohiko ^{[42
]}

Nakamura, Hironori ^{[43
]}

Yanagi, Mai ^{[44
]}

Udagawa, Takashi ^{[45
]}

Yoneda, Tatsuo ^{[46
]}

Sakai, Masashi ^{[47
]}

机构：

[1] St Marianna Univ, Sch Med, Dept Internal Med, Div Nephrol & Hypertens, 2-16-1 Sugao,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan

[2] Inagi Municipal Hosp, Dept Nephrol, Inagi, Tokyo, Japan

[3] St Marianna Univ, Div Nephrol & Hypertens, Sch Med, Yokohama City Seibu Hosp, Yokohama, Kanagawa, Japan

[4] Gyotoku Gen Hosp, Dept Nephrol, Ichikawa, Chiba, Japan

[5] Teikyo Univ, Mizonokuchi Hosp, Dept Internal Med, Kawasaki, Kanagawa, Japan

[6] Kyoto Univ, Inst Hlth Outcomes & Proc Evaluat Res IHope Int, Kyoto, Japan

[7] Japanese Red Cross Asahikawa Hosp, Dept Nephrol, Asahikawa, Hokkaido, Japan

[8] Osaka City Gen Hosp, Dept Urol, Osaka, Japan

[9] Shinshu Univ, Dept Nephrol, Sch Med, Matsumoto, Nagano, Japan

[10] Japanese Red Cross Saitama Hosp, Dept Nephrol, Saitama, Japan

[11] Japanese Red Cross Soc Wakayama Med Ctr, Dept Nephrol, Wakayama, Japan

[12] NTT Med Ctr Sapporo, Dept Nephrol, Sapporo, Hokkaido, Japan

[13] Dokkyo Med Univ, Dept Nephrol & Hypertens, Mibu, Tochigi, Japan

[14] Shimane Prefectural Cent Hosp, Dept Nephrol, Izumo, Shimane, Japan

[15] Kurashiki Cent Hosp, Dept Nephrol, Kurashiki, Okayama, Japan

[16] Kagawa Univ, Fac Med, Dept CardioRenal & Cerebrovasc Med, Takamatsu, Kagawa, Japan

[17] Saiseikai Yokohamashi Tobu Hosp, Dept Nephrol & Dialysis, Yokohama, Kanagawa, Japan

[18] Yuuai Med Ctr, Dept Nephrol, Tomigusuku, Okinawa, Japan

[19] Int Univ Hlth & Welf Narita Hosp, Dept Nephrol, Narita, Chiba, Japan

[20] Fujita Hlth Univ, Sch Med, Dept Nephrol, Toyoake, Aichi, Japan

[21] Kyowakai Med Corp, Kyoritsu Hosp, Dept Nephrol, Kawanishi, Hyogo, Japan

[22] Kitasato Univ, Sch Med, Dept Urol, Sagamihara, Kanagawa, Japan

[23] Fukaya Red Cross Hosp, Dept Nephrol, Fukaya, Saitama, Japan

[24] Keio Univ, Sch Med, Dept Endocrinol Metab & Nephrol, Minato City, Tokyo, Japan

[25] Natl Hosp Org Kure Med Ctr, Dept Nephrol, Kure, Hiroshima, Japan

[26] Ichiyokai Harada Hosp, Dept Nephrol, Hiroshima, Japan

[27] Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Nephrol, Tokyo, Japan

[28] Kansai Elect Power Hosp, Dept Nephrol, Osaka, Japan

[29] Yamanashi Prefectural Cent Hosp, Dept Nephrol, Kofu, Yamanashi, Japan

[30] Natl Hosp Org Beppu Med Ctr, Dept Nephrol, Beppu, Oita, Japan

[31] Kameda Med Ctr, Dept Nephrol, Kamogawa, Chiba, Japan

[32] Kawasaki Saiwai Hosp, Dept Nephrol, Kawasaki, Kanagawa, Japan

[33] Int Univ Hlth & Welf, Atami Hosp, Dept Nephrol, Atami, Shizuoka, Japan

[34] Juntendo Univ, Nerima Hosp, Dept Nephrol, Bunkyo City, Tokyo, Japan

[35] Iwate Med Univ, Sch Med, Dept Internal Med, Div Nephrol & Hypertens, Morioka, Iwate, Japan

[36] Osaka Metropolitan Univ, Dept Urol, Osaka, Japan

[37] Morishita Mem Hosp, Dept Nephrol, Sagamihara, Kanagawa, Japan

[38] Yokohama Sakae Kyosai Hosp, Dept Nephrol, Yokohama, Kanagawa, Japan

[39] Kyoto Prefectural Univ Med, Dept Med, Div Nephrol, Kyoto, Japan

[40] Yokohama City Minato Red Cross Hosp, Dept Nephrol, Yokohama, Kanagawa, Japan

[41] Hitachi Gen Hosp, Dept Nephrol, Hitachi, Ibaraki, Japan

[42] Yokohama City Univ, Grad Sch Med, Dept Med Sci & Cardiorenal Med, Yokohama, Kanagawa, Japan

[43] Shinonoi Gen Hosp, Dept Nephrol, Nagano, Japan

[44] Japanese Red Cross Med Ctr, Dept Nephrol, Shibuya City, Tokyo, Japan

[45] Nippon Koukan Hosp, Dept Nephrol, Kawasaki, Kanagawa, Japan

[46] Nara Med Univ, Dept Urol, Kashihara, Nara, Japan

[47] Fujisawa City Hosp, Dept Nephrol, Fujisawa, Kanagawa, Japan

[48] Mito Saiseikai Gen Hosp, Dept Nephrol, Mito, Ibaraki, Japan

[49] Gengendo Kimitsu Hosp, Dept Surg, Kimitsu, Chiba, Japan

[50] Showa Gen Hosp, Dept Nephrol, Kodaira, Tokyo, Japan

来源：

PERITONEAL DIALYSIS INTERNATIONAL | 2023年 / 43卷 / 06期

关键词：

Catheter placement; perioperative complication; peritoneal dialysis; ACCESS; INFECTION; RISK;

D O I：

10.1177/08968608231193240

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

\Background: This multi-institutional, observational study examined whether the outcomes after peritoneal dialysis (PD) catheter placement in Japan meet the audit criteria of the International Society for Peritoneal Dialysis (ISPD) guideline and identified factors affecting technique survival and perioperative complications. Methods: Adult patients who underwent first PD catheter placement for end-stage kidney disease between April 2019 and March 2021 were followed until PD withdrawal, kidney transplantation, transfer to other facilities, death, 1 year after PD start or March 2022, whichever came first. Primary outcomes were time to catheter patency failure and technique failure, and perioperative infectious complications within 30 days of catheter placement. Secondary outcomes were perioperative complications. Appropriate statistical analyses were performed to identify factors associated with the outcomes of interest. Results: Of the total 409 patients, 8 who underwent the embedded catheter technique did not have externalised catheters. Of the 401 remaining patients, catheter patency failure occurred in 25 (6.2%). Technical failure at 12 months after PD catheter placement calculated from cumulative incidence function was 15.3%. On Cox proportional hazards model analysis, serum albumin (hazard ratio (HR) 0.44; 95% confidence interval (CI) 0.27-0.70) and straight type catheter (HR 2.14; 95% CI 1.24-3.69) were the independent risk factors for technique failure. On logistic regression analysis, diabetes mellitus was the only independent risk factor for perioperative infectious complications (odds ratio 2.70, 95% CI 1.30-5.58). The occurrence rate of perioperative complications generally met the audit criteria of the ISPD guidelines. Conclusion: PD catheter placement in Japan was proven to be safe and appropriate.

引用

页码：457 / 466

页数：10

共 40 条

[1]

Aikawa A., 2018, Ren Replace Ther, V4, P50, DOI [10.1186/s41100-018-0186-3, DOI 10.1186/S41100-018-0186-3]

[2]

apes-chicken, US

[3] Regional variation in the treatment and prevention of peritoneal dialysis-related infections in the Peritoneal Dialysis Outcomes and Practice Patterns Study [J].

Boudville, Neil ;

Johnson, David W. ;

Zhao, Junhui ;

Bieber, Brian A. ;

Pisoni, Ronald L. ;

Piraino, Beth ;

Bernardini, Judith ;

Nessim, Sharon J. ;

Ito, Yasuhiko ;

Woodrow, Graham ;

Brown, Fiona ;

Collins, John ;

Kanjanabuch, Talerngsak ;

Szeto, Cheuk-Chun ;

Perl, Jeffrey .

NEPHROLOGY DIALYSIS TRANSPLANTATION, 2019, 34 (12) :2118-2126

[4] Catheter insertion techniques for improving catheter function and clinical outcomes in peritoneal dialysis patients [J].

Briggs, Victoria R. ;

Jacques, Richard M. ;

Fotheringham, James ;

Maheswaran, Ravi ;

Campbell, Michael ;

Wilkie, Martin E. .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2023, (02)

[5] Diabetes Is the Most Critical Risk Factor of Adverse Complications After Peritoneal Dialysis Catheter Placement [J].

Chang, Hsiao-Huang ;

Chang, Ching-Hsiang ;

Hsiao, Chen-Yuan ;

Kao, Shih-Yi ;

Chen, Jinn-Yang ;

Chen, Tien-Hua ;

Tsai, Pei-Jiun .

FRONTIERS IN MEDICINE, 2021, 8

[6]

Chow KM., 2023, PERITON DIALYSIS INT, V43, p8968608231172740

[7]

Churchill DN, 1996, J AM SOC NEPHROL, V7, P198

[8]

Crabtree JH, 2005, AM SURGEON, V71, P135

[9] CREATING AND MAINTAINING OPTIMAL PERITONEAL DIALYSIS ACCESS IN THE ADULT PATIENT: 2019 UPDATE [J].

Crabtree, John H. ;

Shrestha, Badri M. ;

Chow, Kai-Ming ;

Figueiredo, Ana E. ;

Povlsen, Johan, V ;

Wilkie, Martin ;

Abdel-Aal, Ahmed ;

Cullis, Brett ;

Goh, Bak-Leong ;

Briggs, Victoria R. ;

Brown, Edwina A. ;

Dor, Frank J. M. F. .

PERITONEAL DIALYSIS INTERNATIONAL, 2019, 39 (05) :414-436

[10] PERITONEAL DIALYSIS UNIVERSITY FOR SURGEONS: A PERITONEAL ACCESS TRAINING PROGRAM [J].

Crabtree, John H. ;

Penner, Todd ;

Armstrong, Sean W. ;

Burkart, John .

PERITONEAL DIALYSIS INTERNATIONAL, 2016, 36 (02) :177-181

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