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Updated: Aug 29, 2026

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
07:11

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

Decreased technique-related morbidity for continuous ambulatory peritoneal dialysis

J R Gregoire1, S B Kurtz

  • 1Division of Nephrology, Mayo Clinic, Rochester, Minnesota 55905.

ASAIO Transactions
|July 1, 1991
PubMed

Insights

Hospitalization rates for dialysis access complications decreased significantly for continuous ambulatory peritoneal dialysis (CAPD) and home hemodialysis (HHD) patients between the early 1980s and late 1980s. By the late 1980s, both CAPD and HHD patients experienced similar, low hospitalization times for access-related issues.

Area of Science:

  • Nephrology
  • Dialysis Technology
  • Patient Outcomes

Background:

  • Continuous ambulatory peritoneal dialysis (CAPD) and home hemodialysis (HHD) are crucial renal replacement therapies.
  • Access-related complications historically contributed to significant patient hospitalization.
  • Understanding trends in hospitalization is vital for optimizing dialysis care.

Purpose of the Study:

  • To compare hospitalization rates for access-related causes between CAPD and HHD patients over time.
  • To evaluate the impact of decreasing peritonitis incidence on hospitalization patterns.
  • To identify reasons for hospitalization in CAPD patients beyond peritonitis.

Main Methods:

  • Retrospective analysis of patient data from the Mayo Clinic.
  • Comparison of hospitalization days per patient year (PPY) for access-related causes.
  • Data stratified by initial treatment period (1979-1982 vs. 1985-1988).

Main Results:

  • In 1979-1982, CAPD patients had 7.8 days PPY hospitalization for access causes vs. 1.6 days PPY for HHD.
  • In 1985-1988, hospitalization decreased to 1.8 days PPY for CAPD and 1.2 days PPY for HHD.
  • For CAPD patients in 1985-1988, over half of hospitalization time was for non-peritonitis reasons.

Conclusions:

  • Dialysis access complication hospitalization rates have markedly improved for both CAPD and HHD.
  • The gap in hospitalization between CAPD and HHD has narrowed significantly.
  • Non-peritonitis related issues constitute a substantial portion of CAPD hospitalizations, warranting further investigation.

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