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. 2021 Jan 27;2021(1):CD012899. doi: 10.1002/14651858.CD012899.pub2

Jin 2016.

Study characteristics
Methods
  • Country: China

  • Type of study: observational

  • Design: cohort study (retrospective)

  • Time frame: January 2013 to December 2014

  • Duration of follow‐up: each patient was followed for at least 30 days after catheter insertion (until January 2016).

Participants
  • Inclusion criteria: All ESKD patients, 18 to 85 years, who urgently initiated dialysis therapy at Renji Hospital of Shanghai Jiao Tong University School of Medicine

  • Number: treatment group (96); control group (82)

  • Mean age ± SD (years): treatment group (55.2 ± 17.9); control group (51.2 ± 20.0)

  • Sex (males): treatment group (56/96, 58.3%); control group (44/82, 53.7%)

  • DM: treatment group (31/96, 32.3%); control group (20/82, 24.4%)

  • Exclusion criteria: unable to tolerate or wait for PD catheter insertion, including severe respiratory insufficiency, severe acute heart failure, severe hyperkalaemia (> 6.5 mmol/L), and severe acidosis (serum bicarbonate < 12 mmol/L)

Interventions Treatment group
  • USPD


Control group
  • HD using dialysis catheter

Outcomes
  • Dialysis‐related complications

  • Dialysis‐related complications required catheter reinsertion

  • Non‐infectious complications (bleeding, leak, organ rupture, self‐removal, malposition)

  • Infectious complications (peritonitis, catheter‐related infection)

Notes
  • PD patients had more cardiovascular disease but less heart failure compared with HD patients.

  • The primary investigators were uncontactable for further information.

Risk of bias
Bias Authors' judgement Support for judgement
Selection: representativeness of exposed cohort Low risk Study included ESKD patients without permanent dialysis access, admitted to a single hospital during a study period
Selection: non exposed cohort Low risk ESKD patients who did not have vascular access and admitted to the same hospital but started on HD
Selection: ascertainment of exposure Low risk Review medical record
Selection: demonstration that outcome of interest was not present at the start of the study Low risk Outcomes of interest were unlikely to present before the study
Comparability of cohorts on basis of design or analysis Low risk Study was adjusted for potential confounder (presence of heart failure) for composite outcome (short‐term dialysis‐related complications)
Outcome: assessment Low risk Record linkage
Outcome: follow‐up length Low risk Minimal 30 days, enough to examine early complications
Outcome: adequacy of follow‐up High risk High proportion of dropout from HD group (34%)