Early Initiation of Continuous Ambulatory Peritoneal Dialysis in Patients Undergoing Surgical Implantation of Tenckhoff Catheters

Author:

Yang Ya-Fei1,Wang Huang-Joe2,Yeh Chin-Chung3,Lin Hsin-Hung1,Huang Chiu-Ching1

Affiliation:

1. Division of Nephrology, Department of Internal Medicine, China Medical University Hospital, Taiwan

2. School of Medicine, China Medical University, Taiwan

3. Department of Urology, China Medical University Hospital, Taiwan

Abstract

Background Nephrologists commonly recommend continuous ambulatory peritoneal dialysis (CAPD) with break-in periods of at least 2 weeks. We investigated the safety and feasibility of shorter break-in periods following surgical implantation of Tenckhoff catheters. Methods We retrospectively examined 310 patients that underwent Tenckhoff catheter implantation for the first time. The early group comprised 226 patients that started CAPD ≤ 14 days after implantation; the late group comprised 84 patients that started CAPD > 14 days after implantation. Catheter-related complications within 6 months were analyzed. Results A total of 310 patients were enrolled. Time to CAPD initiation was shorter in the early group (2.0 ± 2.7 days) than in the late group (40.6 ± 42.8 days) ( p < 0.001). The bridge hemodialysis rate was higher in the late group (57.1%) than in the early group (31.4%) ( p < 0.001). Overall, 33 early-group (14.6%) and 11 late-group patients (13.1%) developed catheter-related complications within 6 months. The early-group complications were leakage ( n = 5), diminished outflow volume ( n = 7), migration ( n = 7), pericatheter hernia ( n = 1), hemoperitoneum ( n = 1), pericatheter infection ( n = 3), and peritonitis ( n = 9). The late-group complications were leakage ( n = 2), diminished outflow volume ( n = 5), migration ( n = 2), and peritonitis ( n = 2). Actuarial freedom from catheter-related complications was similar in both groups (log rank, p = 0.76). Conclusion Early initiation of CAPD with surgically implanted Tenckhoff catheters is feasible and safe. Shorter break-in periods are not associated with more catheter-related complications. The data from our peritoneal dialysis population suggest that early initiation is not associated with an increased number of complications. This needs to be confirmed in a randomized trial.

Publisher

SAGE Publications

Subject

Nephrology,General Medicine

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