Owen 1992.
Methods | RCT Method of random allocation: not described. Masking: not mentioned. Description of withdrawals and dropouts: numbers and reasons clearly stated ‐ treatment group ‐ 20 (died ‐ 3; transplant ‐ 11; haemodialysis ‐ 3; intermittent peritoneal dialysis or other CAPD system ‐ 3); control ‐ 18 (died ‐ 5; transplanted ‐ 3; haemodialysis ‐ 10; transferred to intermittent peritoneal dialysis or CAPD ‐ 0). Analysis on intention to treat basis: unclear. Duration of follow‐up (median, range): treatment group ‐ 9 (1‐33) months; control group ‐ 14 (1‐34) months. treatment group ‐ 375 patient‐months; control group ‐ 430 patient‐months. |
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Participants | 60 patients commencing CAPD. 30 in treatment group and 30 in control group. Inclusion criteria: "patients who could tolerate 2L fluid exchanges". Exclusion criteria: "Significant physical disabilities or severe visual impairment". Male:female ratio: treatment group ‐ 16:14; control group ‐ 15:15. Age (median, range): treatment group ‐ 54 (11‐79) years; control group ‐ 56 (16‐75) years. |
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Interventions | Y‐set modification (O‐system "modification of the Y‐system with the ends of the connector joined to each other to form a closed circuit between exchanges"; flush before fill, ends soaked in hypochlorite prior to exchange) vs standard system (luer lock, System II, Baxter) | |
Outcomes | Peritonitis. Exit site infection. Technique failure Training time | |
Notes | Povidone iodine caps used. Kaplan‐Meir analysis also reported. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment (selection bias) | Unclear risk | B ‐ Unclear |