Please use this identifier to cite or link to this item:
Title: Outcomes following peritoneal dialysis catheter removal with reinsertion or permanent transfer to haemodialysis
Authors: Kwan, Jia Rui
Chong, Tze Tec
Low, Gerard Z. X.
Low, Gabriel W. T.
Htay, Htay
Foo, Marjorie W. Y.
Tan, Chieh Suai
Keywords: Science::Medicine
Issue Date: 2019
Source: Kwan, J. R., Chong, T. T., Low, G. Z. X., Low, G. W. T., Htay, H., Foo, M. W. Y., & Tan, C. S. (2019). Outcomes following peritoneal dialysis catheter removal with reinsertion or permanent transfer to haemodialysis. The Journal of Vascular Access, 20(1_suppl), 60-64. doi:10.1177/1129729818773984
Journal: The Journal of Vascular Access
Abstract: Introduction: Long-term use of peritoneal dialysis catheter is associated with complications such as infection and malfunction, necessitating removal of catheter with subsequent reinsertion or permanent transfer to haemodialysis. This study aims to investigate the outcome in patients who underwent reinsertion. Methods and materials: A single-centre retrospective study was performed in Singapore General Hospital for all adult incident peritoneal dialysis patients between January 2011 and January 2016. Study data were retrieved from patient electronic medical records up till 1 January 2017. Results: A total of 470 patients had peritoneal dialysis catheter insertion with median follow-up period of 29.2 (interquartile range = 16.7–49.7) months. A total of 92 patients required catheter removal. Thirty-six (39%) patients underwent catheter reinsertion. The overall technique survival at 3 and 12 months were 83% and 67%. Median time to technique failure of the second catheter was 6.74 (interquartile range = 0–50.2) months. The mean survival for patients who converted to haemodialysis and re-attempted peritoneal dialysis was comparable (54.9 ± 5.5 vs 57.3 ± 3.6 months; p = 0.75). Twelve (13%) patients had contraindication for peritoneal dialysis and were excluded from analysis. Of 11 patients who required catheter removal due to malfunction, 7 (64%) underwent catheter reinsertion and 6 (86%) patients ultimately converted to haemodialysis during study period. Of the 69 patients who had catheter removal due to infection, 29 (42%) underwent catheter reinsertion and 8 (28%) patients eventually converted to haemodialysis during the study period. Conclusion: Patient survival was comparable between patients who re-attempted peritoneal dialysis and patients who transferred to haemodialysis. Patients who had previous catheter removal due to infections had favourable technique survival than those due to catheter malfunction.
ISSN: 1724-6032
DOI: 10.1177/1129729818773984
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Rights: © 2018 The Author(s). All rights reserved. This paper was published by SAGE Publications in The Journal of Vascular Access and is made available with permission of The Author(s).
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

Citations 50

Updated on Sep 23, 2023

Web of ScienceTM
Citations 50

Updated on Sep 29, 2023

Page view(s)

Updated on Sep 28, 2023

Download(s) 50

Updated on Sep 28, 2023

Google ScholarTM




Items in DR-NTU are protected by copyright, with all rights reserved, unless otherwise indicated.