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'O' set connector system in CAPD

R A Annigeri, G K Prakash, R Balasubramaniyam

    The Journal of the Association of Physicians of India
    |September 1, 1996
    PubMed
    Summary
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    The O-set connector system in continuous ambulatory peritoneal dialysis (CAPD) is safe and effective for managing end-stage renal disease (ESRD). Peritonitis rates were similar across patient groups, and O-set CAPD costs are comparable to hemodialysis.

    Area of Science:

    • Nephrology
    • Renal Replacement Therapy
    • Peritoneal Dialysis

    Background:

    • Continuous Ambulatory Peritoneal Dialysis (CAPD) is a renal replacement therapy for end-stage renal disease (ESRD).
    • The 'O' set connector system is a component used in CAPD procedures.
    • Understanding the safety, efficacy, and cost-effectiveness of CAPD systems is crucial for patient management.

    Purpose of the Study:

    • To retrospectively evaluate the safety, efficacy, and cost-effectiveness of the 'O' set connector system in CAPD patients.
    • To analyze the incidence and causes of peritonitis in patients using the 'O' set system.
    • To compare the cost of CAPD with the 'O' set system to other CAPD setups and maintenance hemodialysis.

    Main Methods:

    • Retrospective study of 51 CAPD patients using the 'O' set system from January 1993 to April 1995.

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  • Data collected included patient demographics, etiology of ESRD, duration of CAPD, peritonitis episodes, exit site infections, and accidental instillations.
  • Cost analysis compared 'O' set CAPD with Y-bag, twin bag CAPD, and maintenance hemodialysis.

    • Main Results:

    • 47% of patients experienced peritonitis, with an incidence of 18.4 patient-months per episode. Sterile peritonitis was most common (40%).
    • Bacterial and tuberculous peritonitis led to mortality in 3 patients. Exit site infections occurred in 10% of patients.
    • The annual cost of 'O' set CAPD (Rs. 1,50,000) was comparable to maintenance hemodialysis (Rs. 1,36,800) and lower than other CAPD systems.

    Conclusions:

    • The 'O' set connector system in CAPD is a safe, cost-effective, and efficient method for managing ESRD patients.
    • Peritonitis rates and outcomes were not significantly different between diabetic and non-diabetic patients.
    • The 'O' set system offers a cost-effective alternative to other CAPD methods and maintenance hemodialysis.