Cochrane · systematic review · CD012913
Urgent‐start peritoneal dialysis versus conventional‐start peritoneal dialysis for people with chronic kidney disease
Htay, H, Johnson, DW, Craig, JC, et al. · Cochrane Database of Systematic Reviews · 2020 · 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
30
current version
GRADE rated
18
No studies
12
Included studies
NR
No studies 12 · 40%Ungraded 0 · 0%Very low 17 · 56.7%Low 1 · 3.3%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
Summary of findings of randomised controlled trials
Population: people with CKD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dialysate leak | RR 3.9 [1.56, 9.78] | 1 study · 122 participants | Low Downgraded: imprecision, indirectness |
Catheter blockage | no estimate extracted | NR | No studies |
Catheter malposition | no estimate extracted | NR | No studies |
PD dialysate flow problem | no estimate extracted | NR | No studies |
Exit‐site infection | no estimate extracted | NR | No studies |
Exit‐site bleeding | RR 0.7 [0.03, 16.81] | 1 study · 122 participants | Very low Downgraded: imprecision, indirectness |
Tunnel tract infection | no estimate extracted | NR | No studies |
Peritonitis | no estimate extracted | NR | No studies |
Catheter readjustment | no estimate extracted | NR | No studies |
Technique survival | RR 1.09 [1, 1.2] | 1 study · 122 participants | Very low Downgraded: imprecision, indirectness |
Summary of findings of non‐randomised study interventions: cohort studies
Population: people with CKD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dialysate leak | RR 2.06 [0.8, 5.28] | 1322 participants | Very low Downgraded: imprecision |
Catheter blockage | RR 1.33 [0.4, 4.43] | 4 studies · 1214 participants | Very low Downgraded: imprecision |
Catheter malposition | RR 1.63 [0.8, 3.32] | 6 studies · 1353 participants | Very low Downgraded: imprecision |
PD dialysate flow problem | RR 1.44 [0.34, 6.14] | 3 studies · 937 participants | Very low Downgraded: imprecision |
Exit‐site infection | RR 1.43 [0.24, 8.61] | 2 studies · 337 participants | Very low Downgraded: imprecision |
Exit‐site bleeding | RR 1.58 [0.07, 35.32] | 1 study · 27 participants | Very low Downgraded: imprecision |
Tunnel tract infection | no estimate extracted | NR | No studies |
Peritonitis | RR 1 [0.68, 1.46] | 7 studies · 1497 participants | Very low Downgraded: imprecision |
Catheter readjustment | RR 1.27 [0.4, 4.02] | 2 studies · 739 participants | Very low Downgraded: imprecision |
Technique survival | RR 0.9 [0.76, 1.07] | 8 studies · 1668 participants | Very low Downgraded: imprecision |
Summary of findings of non‐randomised study interventions: case‐control studies
Population: people with CKD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dialysate leak | RR 7.41 [1.27, 43.36] | 2 studies · 160 participants | Very low Downgraded: imprecision |
Catheter blockage | RR 1.89 [0.58, 6.13] | 2 studies · 160 participants | Very low Downgraded: imprecision |
Catheter malposition | RR 3 [0.64, 13.96] | 1 study · 104 participants | Very low Downgraded: imprecision |
PD dialysate flow problem | no estimate extracted | NR | No studies |
Exit‐site infection | RR 1.2 [0.41, 3.5] | 1 study · 104 participants | Very low Downgraded: imprecision |
Exit‐site bleeding | no estimate extracted | NR | No studies |
Tunnel tract infection | no estimate extracted | NR | No studies |
Peritonitis | RR 1.09 [0.12, 9.51] | 2 studies · 160 participants | Very low Downgraded: imprecision |
Catheter readjustment | no estimate extracted | NR | No studies |
Technique survival | RR 0.92 [0.79, 1.06] | 2 studies · 160 participants | Very low Downgraded: imprecision |