Peritoneal dialysis catheter removal at the time or after kidney transplantation: a systematic review and meta-analysis.
Catheter removal
Delayed graft function
Kidney transplantation
Peritoneal dialysis catheter
Journal
Langenbeck's archives of surgery
ISSN: 1435-2451
Titre abrégé: Langenbecks Arch Surg
Pays: Germany
ID NLM: 9808285
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
30
01
2022
accepted:
31
07
2022
pubmed:
10
8
2022
medline:
10
11
2022
entrez:
9
8
2022
Statut:
ppublish
Résumé
An increasing number of patients treated with peritoneal dialysis eventually undergo kidney transplantation. Owing to opposing reports, we aimed to find evidence about the best time for peritoneal dialysis catheter removal in transplant patients. We conducted a systematic review and random effects meta-analysis of non-randomized studies of intervention comparing patients with peritoneal dialysis catheters left in place or removed during kidney transplantation in regard to the need for dialysis and occurrence of catheter-related complications. We searched (last update on 8 December 2021) PubMed, Embase, Scopus, and Web of Science for eligible studies. ROBINS-I tool and funnel plot asymmetry analysis were used to assess the quality of included articles. Eight observational studies were evaluated. Five of them, which involved 338 patients, were included in a meta-analysis. All were at moderate to serious risk of bias. The odds of needing dialysis are more than twice as high for patients with peritoneal dialysis catheters left in situ (pooled odds ratio, 2.21; 95% confidence interval [CI], 1.03 to 4.73; I Available evidence is scarce. Unless new data from a randomized controlled trial are available, the dilemma of peritoneal dialysis catheter removal cannot be solved. PROSPERO Protocol ID: CRD42020207707.
Identifiants
pubmed: 35945300
doi: 10.1007/s00423-022-02637-y
pii: 10.1007/s00423-022-02637-y
pmc: PMC9640428
doi:
Types de publication
Meta-Analysis
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2651-2662Informations de copyright
© 2022. The Author(s).
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