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Percutaneous insertion of peritoneal dialysis catheter is a safe and effective technique irrespective of BMI.

Abstract：

BACKGROUND:A large body mass index (BMI) has been considered as a relative contraindication for percutaneous catheter insertion, although this technique has many advantages. Up to now, there are few studies on peritoneal catheter placement and obesity. The aim of this study was to determine whether patients with large BMI can also choose the percutaneous technique for peritoneal dialysis catheter insertion. METHODS:One hundred eighty seven consecutive patients underwent peritoneal catheter insertions in the Chinese PLA General Hospital between January 1, 2015 and December 31, 2016, with 178 eligible cases being included in the analysis. Two groups were created based on the catheter insertion techniques, the percutaneous group (group P) and the surgical group (group S). Subgroups were created according to BMI > 28 or ≤ 28. The outcomes included catheter related complications and catheter survival. RESULTS:Total infectious complication rates were significantly lower in group P than in group S. There were no significant differences in peritonitis rate between group P and group S (1.20% vs. 3.16% with P = 0.71 in early stage, and 4.82% vs. 11.58% with P = 0.11 in late stage). All other measured complications were similar between the two groups. Though the one-year infection-free catheter survival in group P was 7.5% higher than group S, the difference was not significant. The one-year dysfunction-free catheter survival, one-year dysfunction-and-infection-free catheter survival, and overall catheter survival were similar between the two groups. Subgroup analyses showed a superior one-year infection-free catheter survival of percutaneous technique in patients with BMI > 28, which was confirmed by Kaplan-Meier analysis. CONCLUSIONS:Despite the challenges that may be encountered with patients who have a large BMI, the percutaneous technique seems to be a safe and effective approach to placing a peritoneal dialysis catheter.

journal_name

BMC Nephrol

journal_title

BMC nephrology

authors

Xie D,Zhou J,Cao X,Zhang Q,Sun Y,Tang L,Huang J,Zheng J,Lin L,Li Z,Cai G,Chen X

doi

10.1186/s12882-020-01850-5

subject

Has Abstract

pub_date

2020-05-25 00:00:00

pages

199

issue

issn

1471-2369

pii

10.1186/s12882-020-01850-5

journal_volume

pub_type

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Percutaneous insertion of peritoneal dialysis catheter is a safe and effective technique irrespective of BMI.