Table 1 Outcomes of urgent-start PD in various catheter insertion techniques
Referenes | Study design | Group of patients | Number of patients | Insertion technique | Findings |
|---|---|---|---|---|---|
Song et al. [20] | Prospective randomized | Urgent-start PD | 21: gradual increase exchange volumes 38: full exchange volume (2 L) | Percutaneous placement | Overall, 1-year catheter survival was 84.2% No different on mechanical complication between full volume exchange and stepwise volume incremental methods |
Bitencourt et al. [18] | Prospective study | Urgent-start PD | 51 | Percutaneous placement | Patients and technical survival in 6Â months were 82.4 and 86%, respectively |
Povlsen et al. [5] | Retrospective study | Urgent-start PD vs. Planned PD | 52: urgent-start PD with automated PD 88: planned start PD | Open surgical | Higher rate of mechanical complication in urgent start PD (28.9 vs. 7.7%, p = 0.01) and surgical replacement (19.2% vs. 3.9%, p = 0.01) |
Jin et al [7] | Retrospective study | Urgent-start PD vs. Urgent-start HD | 96: PD 82: HD | Open surgical | Compared with PD patients. HD patients had higher rate of dialysis related complications requiring reinsertion (1.0% vs. 24.4%, p = 0.01), non-infectious complications (3.1% vs. 13.4%, p = 0.011), and catheter-related infection (0% vs. 11%, p = 0.003) |
Xu et al. [10] | Observational cohort study | Urgent-start PD | 922 | Open surgical | The rate of abdominal wall and catheter complication were 4.8 and 9.5%, respectively |
See et al. [22] | Matched case control study | Urgent-start PD vs. Conventional start PD | 26: urgent-start PD 78: conventional-start PD | Laparoscopic technique | Higher rate of frequent leak of catheter insertion in urgent-start PD (12% vs. 1%, p = 0.007). Technique survivals were comparable between 2 groups |
Htay et al. [14] | Meta-analysis | PD (different catheter implantation techniques) | 3,144 | Laparoscopy Percutaneous placement Open surgical | No different on catheter insertion technique on risk of PD-related infectious complications, technical survival, and patient survival |