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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1990 Nov;72(6):368–372.

Factors influencing peritoneal catheter survival in continuous ambulatory peritoneal dialysis.

M L Nicholson 1, P K Donnelly 1, P R Burton 1, P S Veitch 1, J Walls 1
PMCID: PMC2499290  PMID: 2241055

Abstract

The success of continuous ambulatory peritoneal dialysis (CAPD) is to a great extent determined by the survival of the peritoneal catheter. The aim of this study was to identify technical factors which influence CAPD catheter survival. A total of 453 CAPD catheters inserted into 310 patients over an 8-year period were analysed. Access to the peritoneum was gained either by an open surgical technique (n = 290) or by a closed technique using a trocar and introducer (n = 163). Data relating to a number of potentially significant risk/benefit factors were analysed using multiple regression analysis (proportional hazards method of Cox). Three factors were found to be independently associated with improved catheter survival. They were: using an open surgical insertion technique, performing a partial omentectomy at the time of catheter insertion and the procedure being performed by a consultant.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Burton P. R., Walls J. A selection adjusted comparison of hospitalization on continuous ambulatory peritoneal dialysis and haemodialysis. J Clin Epidemiol. 1989;42(6):531–539. doi: 10.1016/0895-4356(89)90149-2. [DOI] [PubMed] [Google Scholar]
  2. Burton P. R., Walls J. Selection-adjusted comparison of life-expectancy of patients on continuous ambulatory peritoneal dialysis, haemodialysis, and renal transplantation. Lancet. 1987 May 16;1(8542):1115–1119. doi: 10.1016/s0140-6736(87)91674-6. [DOI] [PubMed] [Google Scholar]
  3. Gokal R. Continuous ambulatory peritoneal dialysis (CAPD)--ten years on. Q J Med. 1987 Jun;63(242):465–472. [PubMed] [Google Scholar]
  4. Gokal R., Jakubowski C., King J., Hunt L., Bogle S., Baillod R., Marsh F., Ogg C., Oliver D., Ward M. Outcome in patients on continuous ambulatory peritoneal dialysis and haemodialysis: 4-year analysis of a prospective multicentre study. Lancet. 1987 Nov 14;2(8568):1105–1109. doi: 10.1016/s0140-6736(87)91544-3. [DOI] [PubMed] [Google Scholar]
  5. Heaton A., Rodger R. S., Sellars L., Goodship T. H., Fletcher K., Nikolakakis N., Ward M. K., Wilkinson R., Kerr D. N. Continuous ambulatory peritoneal dialysis after the honeymoon: review of experience in Newcastle 1979-84. Br Med J (Clin Res Ed) 1986 Oct 11;293(6552):938–941. doi: 10.1136/bmj.293.6552.938. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Mantel N. Evaluation of survival data and two new rank order statistics arising in its consideration. Cancer Chemother Rep. 1966 Mar;50(3):163–170. [PubMed] [Google Scholar]
  7. Oreopoulos D. G., Robson M., Faller B., Ogilvie R., Rapoport A., deVeber G. A. Continuous ambulatory peritoneal dialysis: a new era in the treatment of chronic renal failure. Clin Nephrol. 1979 Mar;11(3):125–128. [PubMed] [Google Scholar]
  8. Steinberg S. M., Cutler S. J., Nolph K. D., Novak J. W. A comprehensive report on the experience of patients on continuous ambulatory peritoneal dialysis for the treatment of end-stage renal disease. Am J Kidney Dis. 1984 Nov;4(3):233–241. doi: 10.1016/s0272-6386(84)80098-0. [DOI] [PubMed] [Google Scholar]
  9. Tenckhoff H., Schechter H. A bacteriologically safe peritoneal access device. Trans Am Soc Artif Intern Organs. 1968;14:181–187. [PubMed] [Google Scholar]

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