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Comparative Study
. 2010 Aug;5(8):1439-46.
doi: 10.2215/CJN.08751209. Epub 2010 May 24.

Training of surgeons in peritoneal dialysis catheter placement in the United States: a national survey

Leslie P Wong  1 , Scott E Liebman, Katherine A Wakefield, Susan Messing
Affiliations
Comparative Study

Training of surgeons in peritoneal dialysis catheter placement in the United States: a national survey

Leslie P Wong et al. Clin J Am Soc Nephrol. 2010 Aug.

Abstract

Background and objectives: Peritoneal dialysis (PD) depends on timely and skilled placement of a PD catheter (PDC). Most PDCs are placed surgically, but little is known about the residency training of surgeons in this procedure. Inadequate residency training could limit surgical expertise in PDCs, resulting in high complication rates that discourage PD use. This study assessed surgical PDC training in the United States to explore this issue.

Design, setting, participants, & measurements: A survey was sent to program directors of 248 U.S. surgery residency programs regarding the amount of PDC training, attitudes toward PDCs, and barriers to PDC training. Results were compared between academic and private centers.

Results: Ninety-three surgery programs (38%) responded: 82% provided training in PDC and 69% were academic centers. Most surgeons placed 2 to <or=5 catheters during residency. Forty-eight percent of program directors felt that PDC training was important, 61% felt PDC training affected outcomes and increased the likelihood surgeons would place PDCs in practice, and 62% of programs expressed willingness to provide more PDC training. Lack of referrals from nephrology was the most frequently cited barrier to PDC training.

Conclusions: Although many U.S. surgery residency programs provide PDC training, this training appears inadequate. Low PD use and lack of referrals limits surgical training at most centers. Nephrologists need to develop initiatives with surgeons to improve PDC training and outcomes.

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Figures

Figure 1.
Figure 1.
Reported barriers limiting surgical training in PDC placement.
Figure 2.
Figure 2.
Reported factors that would improve surgery programs' ability to train residents in PDC placement.
See this image and copyright information in PMC

References

    1. Mehrotra R, Kermah D, Fried L, Kalantar-Zadeh K, Khawar O, Norris K, Nissenson A: Chronic peritoneal dialysis in the United States: Declining utilization despite improving outcomes. J Am Soc Nephrol 18: 2781–2788, 2007 - PubMed
    1. Khawar O, Kalantar-Zadeh K, Lo WK, Johnson D, Mehrotra R: Is the declining use of long-term peritoneal dialysis justified by outcome data? Clin J Am Soc Nephrol 2: 1317–1328, 2007 - PubMed
    1. Neil N, Guest S, Wong L, Inglese G, Bhattacharyya SK, Gehr T, Walker DR, Golper T: The financial implications for Medicare of greater use of peritoneal dialysis. Clin Ther 31: 880–888, 2009 - PubMed
    1. U.S. Renal Data System: 2009 USRDS Annual Data Report. Bethesda, MD, U.S. Department of Public Health and Human Services, Public Health Service, National Institutes of Health, 2009
    1. Crabtree JH: Who should place peritoneal dialysis catheters? Perit Dial Int 30: 142–150, 2010 - PubMed

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