Related Experiment Video
Updated: May 10, 2026
A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
Published on: July 20, 2022
UK Renal Registry 15th annual report: Chapter 8 UK multisite peritoneal dialysis access catheter audit for first PD
Victoria Briggs1, David Pitcher, Fiona Braddon
1Sheffield Teaching Hospitals, Sheffield, UK. renalregistry@renalregistry.nhs.com
Insights
A national audit established standards for peritoneal dialysis (PD) catheter function, revealing variations in practice and identifying factors influencing PD catheter outcomes. This audit aims to improve patient care and PD catheter performance.
Area of Science:
- Nephrology
- Dialysis Technology
- Public Health Auditing
Background:
- Effective peritoneal dialysis (PD) relies on appropriate PD catheter function.
- Establishing a standard for PD catheter performance is crucial for optimal dialysis outcomes.
Purpose of the Study:
- To develop a national audit for PD access.
- To identify an appropriate standard for PD catheter function.
Main Methods:
- The UK Renal Registry collected data on PD catheter functionality and complications from 65 centers.
- The audit analyzed data from 917 PD catheter placements in incident dialysis patients from 2011.
Main Results:
- Patient demographics: median age 61 years, 61.5% male.
- PD initiation was lower in socially deprived areas; referral timing influenced surgical assessment.
- Diabetes did not correlate with increased PD catheter failure or early peritonitis.
Conclusions:
- A comparative PD catheter audit can improve patient outcomes and experience.
- Significant center variation exists in PD catheter use for late-presenting patients.
- Percutaneous insertion was linked to higher early peritonitis and flow issues.
Background:
The central paradigm of effective peritoneal dialysis (PD) is an appropriate standard of PD catheter function.
Aim:
The aim of the project was to develop an effective national PD access audit which would identify an 'appropriate standard' of PD catheter function.
Methods:
The UK Renal Registry collected centre specific information on various PD access outcome measures including catheter functionality and post-insertion complications. The first PD access audit covering England, Northern Ireland and Wales was conducted during April to June 2012 looking at incident dialysis patients in 2011.
Results:
Forty three data collection spreadsheets were returned from a total of 65 centres describing 917 PD catheter placements. The median age of PD patients was 61 years and 61.5% were male. The proportion of patients initiated on PD in comparison to HD was lower in socially deprived areas. There was a relationship between the timing of nephrology referral and the likelihood of surgical assessment regarding PD catheter placement. Patients with diabetes did not have higher rates of PD catheter failure or of early peritonitis.
Conclusions:
A comparative PD catheter audit has the potential to provide valuable information on an important patient related outcome measure and lead to an improvement in patient experience. There was wide variation between centres of PD catheter use for late presenting patients. Overall patients were more likely to get a PD catheter if they had been known to the service for more than 1 year. The percutaneous insertion technique was associated with a higher early (less than 2 week) peritonitis rate and more catheter flow problems.
Related Concept Videos
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
01:25Peritoneal Dialysis III: Nursing Management
01:30Peritoneal Dialysis I: Introduction and Procedure
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
01:30Continuous Renal Replacement Therapy
01:26Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy