Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 한상웅 | - |
dc.date.accessioned | 2022-03-17T00:38:21Z | - |
dc.date.available | 2022-03-17T00:38:21Z | - |
dc.date.issued | 2020-07 | - |
dc.identifier.citation | BMC NEPHROLOGY, v. 21, no. 1, article no. 317 | en_US |
dc.identifier.issn | 1471-2369 | - |
dc.identifier.uri | https://bmcnephrol.biomedcentral.com/articles/10.1186/s12882-020-01971-x | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/169125 | - |
dc.description.abstract | Background: Most end-stage renal disease (ESRD) patients undergo open surgical techniques for peritoneal dialysis (PD) catheter placement. An alternative method to PD catheter implantation is the half-percutaneous ("Half-Perc") technique based on a modified trocar that is performed by a nephrologist. The single-center, retrospective, observational, cohort study presented here aimed to compare the effects of the "Half-Perc" technique with the traditional open surgery on peritoneal catheter insertion. Methods: From January 2015 to January 2018, 240 ESRD patients who received initial PD catheter placement were divided into two groups based on the "Half-Perc" technique or open surgery. All patients were followed up for 365 days or until loss of initial PD catheter or death. Prism 5 software was used to analyze baseline characteristics, operation-related parameters, mechanical complications and clinical outcomes. Results: The "Half-Perc" technique showed shorter operation time, shorter incision length, lower postoperative pain scores and quick initiation of the PD program compared to the open surgery. After the 365-day follow-up, the "Half-Perc" group showed a higher rate of catheter dysfunction (4% versus 0.9%) that was corrected by conservative treatment in most patients and a lower rate of peritonitis (4% versus 9.6%) but mechanical complications and clinical outcomes did not differ between the two groups. There was also no significant difference based on overall patient mortality or catheter removal. One-year initial catheter survival and true catheter survival were not statistically different between the groups. Conclusion: The "Half-Perc" placement of the PD catheter using a modified metal trocar appears to be a non-inferior alternative method and carries minimal invasiveness and risk compared to open surgical placement. | en_US |
dc.language.iso | en | en_US |
dc.publisher | BMC | en_US |
dc.subject | Chronic kidney disease | en_US |
dc.subject | Indoxyl sulfate | en_US |
dc.subject | Carbon adsorbent | en_US |
dc.subject | Oral spherical carbon adsorbent | en_US |
dc.subject | Uremic toxin | en_US |
dc.title | New oral spherical carbon adsorbent effectively reduces serum indoxyl sulfate levels in moderate to advanced chronic kidney disease patients: a multicenter, prospective, open-label stud | en_US |
dc.type | Article | en_US |
dc.relation.no | 1 | - |
dc.relation.volume | 21 | - |
dc.identifier.doi | 10.1186/s12882-020-01971-x | - |
dc.relation.page | 1-10 | - |
dc.relation.journal | BMC NEPHROLOGY | - |
dc.contributor.googleauthor | Kim, Seok-Hyung | - |
dc.contributor.googleauthor | Jhee, Jong Hyun | - |
dc.contributor.googleauthor | Choi, Hoon Young | - |
dc.contributor.googleauthor | Lee, Sang-Ho | - |
dc.contributor.googleauthor | Shin, Sug Kyun | - |
dc.contributor.googleauthor | Lee, So-Young | - |
dc.contributor.googleauthor | Yang, Dong Ho | - |
dc.contributor.googleauthor | Yi, Joo-Hark | - |
dc.contributor.googleauthor | Han, Sang-Woong | - |
dc.contributor.googleauthor | Jo, Young-Il | - |
dc.relation.code | 2020047087 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | cardion | - |
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