Prognosis of urgent initiation of peritoneal dialysis: a systematic review and meta-analysis
Objectives Currently, there is no consensus on the optimal timing for the initiation of peritoneal dialysis (PD) after catheter placement.Design Systematic review and meta-analysis.Exact date of data collection From inception till July 31, 2023.Main outcome measures To assess the outcomes and safety...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Renal Failure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2024.2312533 |
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| _version_ | 1832591087210856448 |
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| author | Ji He BaoQiao Wu Yue Zhang Limiao Dai Juan Ji Yueming Liu Qiang He |
| author_facet | Ji He BaoQiao Wu Yue Zhang Limiao Dai Juan Ji Yueming Liu Qiang He |
| author_sort | Ji He |
| collection | DOAJ |
| description | Objectives Currently, there is no consensus on the optimal timing for the initiation of peritoneal dialysis (PD) after catheter placement.Design Systematic review and meta-analysis.Exact date of data collection From inception till July 31, 2023.Main outcome measures To assess the outcomes and safety of unplanned PD initiation (<14/7 days after catheter insertion) in cohort studies.Results Fifteen studies involving 3054 participants were included. (1) The risk of unplanned initiation of leakage and Obstruction was no difference in both the break-in period (BI) <14 and BI < 7 groups. (2) Catheter displacement was more likely to occur in the emergency initiation group with BI < 7. (3) No significant differences were observed between the two groups regarding infectious complications. (4) There was no difference in transition to HD between patients with BI < 7 and BI < 14 d.Conclusion Infectious complications of unplanned initiation of peritoneal dialysis did not differ from planned initiation. Emergency initiation in the BI < 7 group had higher catheter displacement, but heterogeneity was higher. There were no differences in leakage or obstruction in either group. Catheter survival was the same for emergency initiation of peritoneal dialysis compared with planned initiation of peritoneal dialysis and did not increase the risk of conversion to hemodialysis.Registration This meta-analysis was registered on PROSPERO (https://www.crd.york.ac.uk/PROSPERO/, number: CRD42023431369) |
| format | Article |
| id | doaj-art-360b6267f8ef4ec7b22e1cc2d4646bc3 |
| institution | Kabale University |
| issn | 0886-022X 1525-6049 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj-art-360b6267f8ef4ec7b22e1cc2d4646bc32025-01-23T04:17:48ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492024-12-0146110.1080/0886022X.2024.2312533Prognosis of urgent initiation of peritoneal dialysis: a systematic review and meta-analysisJi He0BaoQiao Wu1Yue Zhang2Limiao Dai3Juan Ji4Yueming Liu5Qiang He6Jinzhou Medical University, Jinzhou, Liaoning, ChinaSecond Clinical Medical College of Zhejiang, Chinese Medical University, Hangzhou, Zhejiang, ChinaUrology & Nephrology Center, Department of Nephrology, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, ChinaSecond Clinical Medical College of Zhejiang, Chinese Medical University, Hangzhou, Zhejiang, ChinaDepartment of Nephrology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou, Zhejiang, ChinaUrology & Nephrology Center, Department of Nephrology, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, ChinaJinzhou Medical University, Jinzhou, Liaoning, ChinaObjectives Currently, there is no consensus on the optimal timing for the initiation of peritoneal dialysis (PD) after catheter placement.Design Systematic review and meta-analysis.Exact date of data collection From inception till July 31, 2023.Main outcome measures To assess the outcomes and safety of unplanned PD initiation (<14/7 days after catheter insertion) in cohort studies.Results Fifteen studies involving 3054 participants were included. (1) The risk of unplanned initiation of leakage and Obstruction was no difference in both the break-in period (BI) <14 and BI < 7 groups. (2) Catheter displacement was more likely to occur in the emergency initiation group with BI < 7. (3) No significant differences were observed between the two groups regarding infectious complications. (4) There was no difference in transition to HD between patients with BI < 7 and BI < 14 d.Conclusion Infectious complications of unplanned initiation of peritoneal dialysis did not differ from planned initiation. Emergency initiation in the BI < 7 group had higher catheter displacement, but heterogeneity was higher. There were no differences in leakage or obstruction in either group. Catheter survival was the same for emergency initiation of peritoneal dialysis compared with planned initiation of peritoneal dialysis and did not increase the risk of conversion to hemodialysis.Registration This meta-analysis was registered on PROSPERO (https://www.crd.york.ac.uk/PROSPERO/, number: CRD42023431369)https://www.tandfonline.com/doi/10.1080/0886022X.2024.2312533Peritoneal dialysisESRDearly-starturgent startcatheter |
| spellingShingle | Ji He BaoQiao Wu Yue Zhang Limiao Dai Juan Ji Yueming Liu Qiang He Prognosis of urgent initiation of peritoneal dialysis: a systematic review and meta-analysis Renal Failure Peritoneal dialysis ESRD early-start urgent start catheter |
| title | Prognosis of urgent initiation of peritoneal dialysis: a systematic review and meta-analysis |
| title_full | Prognosis of urgent initiation of peritoneal dialysis: a systematic review and meta-analysis |
| title_fullStr | Prognosis of urgent initiation of peritoneal dialysis: a systematic review and meta-analysis |
| title_full_unstemmed | Prognosis of urgent initiation of peritoneal dialysis: a systematic review and meta-analysis |
| title_short | Prognosis of urgent initiation of peritoneal dialysis: a systematic review and meta-analysis |
| title_sort | prognosis of urgent initiation of peritoneal dialysis a systematic review and meta analysis |
| topic | Peritoneal dialysis ESRD early-start urgent start catheter |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2024.2312533 |
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