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. 2019 May 31;2019(5):CD004680. doi: 10.1002/14651858.CD004680.pub3

Atapour 2011.

Methods
  • Study design: parallel RCT

  • Study time frame/recruitment period: 2009 to 2010

  • Follow‐up period: 2 months

Participants
  • Country: Iran

  • Setting: single centre

  • Aged ≥ 18 years; CKD stage 5 which needed RRT; self‐care ability; patient’s consent and having family support of choosing CAPD as a choice of RRT

  • Number: treatment group (31); control group (30)

  • Mean age ± SD (years): treatment group (58.5 ± 14.7); control group (51.5 ± 19.2)

  • Sex (M/F): treatment group (21/10); control group (12/18)

  • Diabetes: treatment group (14/31); control group (14/30)

  • Exclusion criteria: morbid obesity (BMI > 35kg/m2); ventral or inguinal hernia or any history of abdominal surgery

Interventions Treatment group
  • Percutaneously inserted catheter


Control group
  • Surgically inserted catheter

Outcomes
  • Exit‐site infection

  • Peritonitis

  • Mechanical complications: outflow failure, leak, haemoperitoneum, hollow viscous perforation, incisional site hernia

Notes
  • 3 patients from percutaneous group were excluded post intervention due to cardiac death

  • Funding source: not reported

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random allocation software
Allocation concealment (selection bias) Low risk Random allocation software
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Insufficient information to permit judgement
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Insufficient information to permit judgement
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No dropouts
Selective reporting (reporting bias) High risk The incidence of infection was reported for the first two weeks only, did not report infection at the end of study
Other bias Unclear risk No information was provided for who performed the procedures for both groups