Cochrane · systematic review · CD012478
Catheter insertion techniques for improving catheter function and clinical outcomes in peritoneal dialysis patients
Briggs, VR, Jacques, RM, Fotheringham, J, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
Kidney and TransplantAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
21
No studies
5
Included studies
NR
No studies 5 · 17.9%Ungraded 2 · 7.1%Very low 15 · 53.6%Low 6 · 21.4%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Laparoscopic versus open surgical PD catheter insertion for improving catheter function and clinical outcomes in peritoneal dialysis patients
Population: patients requiring PD catheter placement
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Early PD catheter function Time frame: within 4 weeks of PD catheter insertion Laparoscopic vs open surgical PD catheter insertion | no estimate extracted | 5 studies · 383 participants | Ungraded |
Long‐term PD catheter function Time frame: > 4 weeks after PD catheter insertion) Laparoscopic vs open surgical PD catheter insertion | no estimate extracted | 5 studies · 383 participants | Ungraded |
Technique failure Laparoscopic vs open surgical PD catheter insertion | no estimate extracted | NR | No studies |
Postoperative death (relating to PD catheter insertion) Laparoscopic vs open surgical PD catheter insertion | RR 0.32 [0.01, 7.63] | 2 studies · 167 participants | Very low Downgraded: risk of bias, imprecision |
Peritonitis Time frame: within 4 weeks of PD catheter insertion Laparoscopic vs open surgical PD catheter insertion | RR 0.97 [0.63, 1.48] | 4 studies · 288 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Dialysate leakage (excluding Tsimoyiannis 2000) Laparoscopic vs open surgical PD catheter insertion | RR 1.4 [0.49, 4.02] | 4 studies · 330 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Catheter tip migration (mechanical failure) Laparoscopic vs open surgical PD catheter insertion | RR 0.43 [0.2, 0.92] | 4 studies · 333 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Medical versus open surgical PD catheter insertion for improving catheter function and clinical outcomes in PD patients
Population: improving catheter function and clinical outcomes in PD patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Early PD catheter function (within 4 weeks of PD catheter insertion) Medical vs open surgical PD catheter insertion | RR 0.73 [0.29, 1.83] | 3 studies · 212 participants | Low Downgraded: risk of bias |
Late PD catheter failure (> 4 weeks following PD catheter insertion) Medical vs open surgical PD catheter insertion | RR 0.59 [0.38, 0.92] | 1 study · 116 participants | Very low Downgraded: risk of bias, imprecision |
Technique failure Medical vs open surgical PD catheter insertion | no estimate extracted | NR | No studies |
Postoperative death Medical vs open surgical PD catheter insertion | no estimate extracted | 2 studies · 64 participants | Very low Downgraded: risk of bias, imprecision |
Peritonitis Medical vs open surgical PD catheter insertion | RR 0.21 [0.06, 0.71] | 4 studies · 273 participants | Low Downgraded: risk of bias, imprecision |
Dialysate leakage Medical vs open surgical PD catheter insertion | RR 0.23 [0.05, 0.95] | 4 studies · 273 participants | Low Downgraded: risk of bias, imprecision |
Catheter tip migration (mechanical failure) Medical vs open surgical PD catheter insertion | RR 0.74 [0.15, 3.73] | 2 studies · 90 participants | Very low Downgraded: risk of bias, imprecision |
Percutaneous versus open surgical PD catheter insertion for improving catheter function and clinical outcomes in PD patients
Population: improving catheter function and clinical outcomes in PD patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Early PD catheter function (within 4 weeks of PD catheter insertion) Percutaneous vs open surgical PD catheter insertion | RR 0.35 [0.04, 3.07] | 1 study · 35 participants | Very low Downgraded: risk of bias |
Long‐term PD catheter failure (> 4 weeks following PD catheter insertion) Percutaneous vs open surgical PD catheter insertion | no estimate extracted | NR | No studies |
Technique failure Percutaneous vs open surgical PD catheter insertion | no estimate extracted | NR | No studies |
Postoperative death Percutaneous vs open surgical PD catheter insertion | no estimate extracted | 1 study · 35 participants | Very low Downgraded: risk of bias, imprecision |
Peritonitis Percutaneous vs open surgical PD catheter insertion | no estimate extracted | 2 studies · 96 participants | Very low Downgraded: risk of bias, imprecision |
Dialysate leakage Percutaneous vs open surgical PD catheter insertion | RR 0.97 [0.06, 14.78] | 2 studies · 96 participants | Very low Downgraded: risk of bias, imprecision |
Mechanical failure Percutaneous vs open surgical PD catheter insertion | RR 0.29 [0.06, 1.33] | 2 studies · 96 participants | Very low Downgraded: risk of bias, imprecision |
Peritoneoscopic versus open surgical PD catheter insertion for improving catheter function and clinical outcomes in PD patients
Population: improving catheter function and clinical outcomes in PD patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Early PD catheter function (within 4 weeks of PD catheter insertion) Timepoint: 2 weeks Peritoneoscopic vs open surgical PD catheter insertion | RR 0.85 [0.31, 2.38] | 2 studies · 177 participants | Very low Downgraded: risk of bias |
Long‐term PD catheter function (> 4 weeks following PD catheter insertion) Peritoneoscopic vs open surgical PD catheter insertion | RR 0.59 [0.38, 0.92] | 1 study · 116 participants | Very low Downgraded: risk of bias, imprecision |
Technique failure Peritoneoscopic vs open surgical PD catheter insertion | no estimate extracted | NR | No studies |
Postoperative death Peritoneoscopic vs open surgical PD catheter insertion | no estimate extracted | 1 study · 29 participants | Very low Downgraded: risk of bias, imprecision |
Peritonitis Peritoneoscopic vs open surgical PD catheter insertion | RR 0.21 [0.06, 0.71] | 2 studies · 177 participants | Very low Downgraded: risk of bias, imprecision |
Dialysate leakage Peritoneoscopic vs open surgical PD catheter insertion | RR 0.13 [0.02, 0.71] | 2 studies · 177 participants | Very low Downgraded: risk of bias, imprecision |
Catheter tip migration (mechanical failure) Peritoneoscopic vs open surgical PD catheter insertion | RR 0.36 [0.02, 8.07] | 1 study · 29 participants | Very low Downgraded: risk of bias, imprecision |