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Observational Study
. 2023 Nov;43(6):457-466.
doi: 10.1177/08968608231193240. Epub 2023 Aug 26.

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

Tsutomu Sakurada  1 , Shigeki Kojima  1 , Shohei Yamada  1 , Kenichiro Koitabashi  2 , Yasuhiro Taki  2 , Katsuomi Matsui  3 , Masaru Murasawa  4 , Hiroo Kawarazaki  5 , Sayaka Shimizu  6 , Hironori Kobayashi  7 , Toshihiro Asai  8 , Koji Hashimoto  9 , Taro Hoshino  10 , Seita Sugitani  11 , Tomochika Maoka  12 , Akihiko Nagase  13 , Hirotaka Sato  14 , Kosuke Fukuoka  15 , Tadashi Sofue  16 , Kiyoto Koibuchi  17 , Kiyomitsu Nagayama  18 , Naoki Washida  19 , Shigehisa Koide  20 , Takayuki Okamoto  21 , Daisuke Ishii  22 , Satoshi Furukata  23 , Kiyotaka Uchiyama  19   24 , Shunsuke Takahashi  25 , Yoshiko Nishizawa  26 , Shotaro Naito  27 , Naohiro Toda  28 , Tsukasa Naganuma  29 , Hidetoshi Kikuchi  30 , Tomo Suzuki  31 , Daisuke Komukai  32 , Takahide Kimura  33 , Hiroaki Io  34 , Kazuhiro Yoshikawa  35 , Toshihide Naganuma  36 , Masamitsu Morishita  37 , Jin Oshikawa  38 , Keiichi Tamagaki  39 , Hajime Fujisawa  40 , Atsushi Ueda  41 , Tomohiko Kanaoka  42 , Hironori Nakamura  43 , Mai Yanagi  44 , Takashi Udagawa  45 , Tatsuo Yoneda  46 , Masashi Sakai  47 , Masanobu Gunji  48 , Shinichi Osaki  49 , Hisako Saito  50 , Yuuki Yoshioka  51 , Nagayuki Kaneshiro  52
Affiliations
Observational Study

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

Tsutomu Sakurada et al. Perit Dial Int. 2023 Nov.

Erratum in

Abstract

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.

Keywords: Catheter placement; perioperative complication; peritoneal dialysis.

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Conflict of interest statement

Declaration of conflicting interestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The authors have read and understood Peritoneal Dialysis International’s policy on conflicts of interest disclosures. TS has received speaker honorarium from Baxter Healthcare and received research grant from Terumo Corporation. HI has received research grant from Baxter Healthcare. KU has received salaries from an endowed chair at Baxter Healthcare. KU has received research grant, also from Baxter Healthcare. NW has received speaker honorarium from Baxter Healthcare. MY has received speaker honorarium from Terumo Corporation. DK has received speaker honorarium from JMS Co., Ltd. KT has received speaker honorarium from Baxter Healthcare and JMS Co., Ltd. The other authors declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

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