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  • Title: Factors influencing peritoneal catheter survival in continuous ambulatory peritoneal dialysis.
    Author: Nicholson ML, Donnelly PK, Burton PR, Veitch PS, Walls J.
    Journal: Ann R Coll Surg Engl; 1990 Nov; 72(6):368-72. PubMed ID: 2241055.
    Abstract:
    The success of continuous ambulatory peritoneal dialysis (CAPD) is to a great extent determined by the survival of the peritoneal catheter. The aim of this study was to identify technical factors which influence CAPD catheter survival. A total of 453 CAPD catheters inserted into 310 patients over an 8-year period were analysed. Access to the peritoneum was gained either by an open surgical technique (n = 290) or by a closed technique using a trocar and introducer (n = 163). Data relating to a number of potentially significant risk/benefit factors were analysed using multiple regression analysis (proportional hazards method of Cox). Three factors were found to be independently associated with improved catheter survival. They were: using an open surgical insertion technique, performing a partial omentectomy at the time of catheter insertion and the procedure being performed by a consultant.
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